menopause. Other studies have not shown an increased risk with either oral contraceptive use or estrogen replacement therapy. These findings need further study. • A low-calorie, low-fat (especially animal fat), high-fiber or Oriental-style diet may decrease risk. • Controversy continues regarding breast feeding. Some studies suggest that breast feeding may reduce the risk of breast cancer, particularly in cultures where prolonged breast feeding (several years for each child) is the norm. Factors Not Related to Breast Cancer • Fibrocystic breasts . • Multiple pregnancies. • Coffee or caffeine intake.