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Although white women are more likely than African American women to develop postmenopausal breast cancer, African American women are more likely to develop premenopausal breast cancer. There are several possible reasons for this. African American women appear to have more reproductive factors related to breast cancer risk such as an earlier age at menarche, later age at menopause, a greater number of lifetime periods and higher blood estrogen levels. However, at this time the reasons behind the increased risk of premenopausal breast cancer among African American women remain unclear.