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Hormonal Treatment of Hot Flashes Still OK for Some: Experts
Date:10/18/2011

tetrics and gynecology at New York University Langone Medical Center in New York City and the immediate past president of NAMS, concurred. "The estrogen-only arm of the WHI showed almost none of the harms that were seen with estrogen-and-progesterone arm," he noted.

However, that arm of WHI got very little attention, he said, and many younger women who could benefit from estrogen replacement therapy may not be getting it, Goldstein said.

"You need to look at an individual's family history and personal history, and make the most intelligent decision about their menopause treatments," he said. "There is no question that in general the harm that a lot of people associate with hormone replacement therapy is unfounded and overstated," Goldstein said.

He was much less supportive of so-called "bioidentical" hormonal therapies, which are made by compounding pharmacies and typically come from plant sources such as soy. "This is snake oil," Goldstein said, adding that, in his opinion, most bioidenticals do not have the proper ingredients in the correct amount.

More information

Find out more about menopause at the U.S. National Library of Medicine.

SOURCES: Steven R. Goldstein, M.D., professor, obstetrics and gynecology, New York University Langone Medical Center, New York City, and immediate past president, North American Menopause Society; Lila E. Nachtigall, M.D., professor, obstetrics and gynecology, New York University Langone Medical Center, New York City; JoAnn E. Manson, M.D., president, NAMS, also chief, division of preventive medicine, Brigham and Women's Hospital, and professor, medicine, Harvard Medical School, Boston


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