“…EDITOR,—In their reply to my letter on risk factors for breast cancer1 McPherson and colleagues entirely miss the crucial difference between natural progesterone and progestogens 2. To quote from my original letter: “synthetic progestogens have very different effects on the body from progesterone itself.” As the administration of progestogens results in a lowering of serum progesterone concentrations I entirely agree that giving progestogens to women at high risk of breast cancer is potentially hazardous.…”