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Early menstruationbeginning to have menstrual periods at age 11 or younger increases the number of years the breast tissue is exposed to estrogenStarting menopause at a later agethe more years a woman menstruatesthe longer her breast tissue is exposed to estrogenOlder age at first birth or never having given birthbecause estrogen levels are lower during pregnancybreast tissue is exposed to more estrogen in women who become pregnant for the first time after age 35 or who never become pregnant.

Are a woman who had the menopause before 45 years of age Have already had a bone fracture after a minor fall or bump Have a strong family history of osteoporosisHave a body mass indexBMIof 19 or lessthat isyou are very underweightHave irregular periods Have takenor are takinga steroid medicinesuch as prednisolonefor three months or more Are a smoker Have an alcohol intake of more than four units per day Lack calcium and/or vitamin Ddue to a poor diet and/or little exposure to sunlightAre mostly inactive.

Taking raloxifene increases the risk of blood clots in the lungs and legsbut does not appear to increase the risk of endometrial cancerIn postmenopausal women with osteoporosisdecreased bone densityraloxifene lowers the risk of breast cancer for women who have a high or low risk of breast cancerIt is not known if raloxifene would have the same effect in women who do not have osteoporosisTalk with your doctor about the risks and benefits of taking this drug.

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