Alcohol and breast cancer risk: What to know
September 05, 2025
Medically Reviewed | Last reviewed by on September 05, 2025
Many factors can raise your risk of breast cancer. Some, like family history, are outside of our control, while others are more closely linked to lifestyle choices. One such preventable breast cancer risk factor is drinking alcohol.
That¡¯s why, for cancer prevention, it¡¯s best not to drink alcohol. If you choose to drink, be aware of the risks, aim to drink less often and have fewer drinks.
Below, I¡¯ll explain why alcohol is linked to breast cancer and what you can do to protect yourself.
Key takeaways:
- Drinking alcohol increases risk for breast cancer in females, as well as six other cancers that affect people regardless of your sex.
- Consuming as little as one drink per day increases your breast cancer risk. The risk continues to increase the more you drink.
- For cancer prevention, it¡¯s best not to drink alcohol. If you choose to drink, be aware of the risks, aim to drink less often and have fewer drinks.
Alcohol increases breast cancer risk
In early 2025, a Surgeon General Advisory highlighted what studies have shown for years: alcohol increases cancer risk.
Drinking alcohol increases your risk for seven types of cancer:
- Breast cancer for females
- Colorectal cancer
- Esophageal cancer
- Laryngeal (voice box) cancer
- Liver cancer
- Oral cancer
- Throat cancer
According to the report, drinking alcohol increases breast cancer risk more than any other cancer in women in the United States. For example, in 2019, there were about 270,000 breast cancer cases in women. Of those, an estimated 44,180 cases ¡ª or 16.4% ¡ª were linked to alcohol use.
5 reasons alcohol increases cancer risk
Here¡¯s why alcohol consumption may increase your risk of the seven cancers listed above.
- Alcohol contains ethanol. Your body breaks ethanol down into acetaldehyde, a cancer-causing substance, which causes DNA damage.
- Alcohol increases inflammation, which can promote cancer development.
- Alcohol alters hormone levels. It can increase levels of estrogen and other hormones associated with breast cancer. This increases the risk of the most common breast cancer: hormone receptor-positive breast cancer.
- Alcohol can dissolve other cancer-causing substances, such as those in cigarettes. This makes it easier for the body to absorb these carcinogens.
- Alcohol is considered empty calories ¡ª that is, a food or drink that provides calories without helpful nutrients. Eating more calories than your body uses can lead to unwanted weight gain, and obesity is a breast cancer risk factor.
RELATED: 11 things to know about alcohol and cancer
The more you drink, the higher your cancer risk
If you drink alcohol, aim to have fewer drinks. That¡¯s because alcohol¡¯s cancer risk is cumulative. That is, each drink further increases a woman¡¯s risk of developing breast cancer.
What counts as a drink varies depending on the type of alcohol. Here's what a serving looks like for different alcoholic beverages.
- Beer: 12 ounces
- Wine: 5 ounces
- Liquor: 1.5 ounces
Even having one alcoholic drink per day can increase your cancer risk. Per the Surgeon General Advisory, women who drink less than one alcoholic beverage per week have about an 11.3% risk of breast cancer in their lifetime. Raise that to one drink a day, and that risk rises to 13.1%. Having two drinks a day increases that risk to 15.3%. To put that another way, the report writes, ¡°About 4 more women out of 100 would develop breast cancer due to consumption of two drinks a day.¡±
Drinking any type of alcohol increases breast cancer risk
It can be tempting to think that certain drinks are better for you than others. But when it comes to cancer risk, there's no healthy type of alcohol. All types of alcohol ¡ª whether it be wine, spirits or beer ¡ª increase a woman¡¯s risk of developing breast cancer.
That¡¯s because the ethanol in all types of alcohol breaks down to a cancer-causing substance called acetaldehyde. So, while alcoholic drinks may taste different from one another, one way they cause cancer is the same.
Avoid alcohol during breast cancer treatment
It¡¯s not only important to avoid alcohol to reduce your cancer risk. You should also avoid alcohol if you¡¯re in active cancer treatment. That¡¯s because drinking alcohol could increase your risk for a second primary cancer or transform your existing tumor.
Alcohol may also interfere with treatment benefits or even worsen their side effects. Our experts recommend avoiding alcohol during chemotherapy to reduce both strain on your liver and your risk of dehydration.
RELATED: 10 things to avoid while receiving chemotherapy
What men should know about alcohol and breast cancer risk
Breast cancer in men is rare. It is usually caused by genetics, not diet or alcohol.
But that doesn¡¯t mean men should ignore the link between alcohol and cancer. While alcohol isn¡¯t a risk factor for male breast cancer, it still increases the risk of six other cancers for men: colorectal, esophageal, laryngeal, liver, oral and throat cancers.
When it comes to alcohol and cancer prevention, the same guidance applies to men and women: it¡¯s best not to drink alcohol. Those who drink should do so less often and have fewer drinks.
How to proceed
Now that we¡¯ve talked about alcohol¡¯s link to cancer, you might be wondering what, exactly, to do with this information.
The good news is that simply learning more about alcohol and cancer risk is a great first step in risk reduction. In fact, a MD Anderson study found that 39% of American adults were unaware of the link, and just over 30% didn¡¯t think cancer prevention was possible.
If you don¡¯t drink, don¡¯t start. This is especially true the younger you are. It's thought that drinking alcohol at a younger age may increase the risk of breast and other cancers later in life.
If you stop drinking alcohol, research shows your risk for some alcohol-related cancers decreases. Researchers are still working to understand how your breast cancer risk changes if you stop drinking or drink less. But when it comes to alcohol and overall cancer prevention, remember that not drinking is the best choice.
or call 1-877-632-6789.
There's no healthy type of alcohol.
Therese Bevers, M.D.
Physician