In agreement with previous MR analyses, our results suggest a causal role of fasting insulin, total and bioavailable testosterone and SHBG in endometrial cancer risk, although these previous reports either employed smaller sample sizes than this analysis (e.g. fasting insulin analyses were performed in 1287 endometrial cancer cases vs 12,906 cases in our analysis) or used somewhat differing methods to examine instrumental variable assumptions [27–29]. This evidence concerns the gene SHBG and endometrial cancer.