Navigation Links
Hormone Therapy Safe, Effective for Women Entering Menopause
Date:5/20/2008

Experts stress that the finding applies only to those under 60 years of age,,,,

TUESDAY, May 20 (HealthDay News) -- Many women, and even some physicians, quickly abandoned the use of hormone replacement therapy in 2002, after the large Women's Health Study suggested that the treatment might harm women who were long past menopause.

But now a team of international experts has concluded that for women in early menopause, hormone replacement therapy (HRT) can safely provide real symptom relief, as well as additional benefits such as increased bone strength.

"Young healthy women at the onset of menopause shouldn't be afraid to use hormones," said Dr. Roger Lobo, a professor of obstetrics and gynecology at Columbia University in New York City, and one of the authors of the report on HRT and menopause submitted to the first International Menopause Society Global Summit on menopause-related issues.

"Women need to know that hormone therapy in early menopause is safe and is absolutely the most effective way of managing the menopausal transition," said Dr. Melissa McNeil, chief of the section of women's health at the University of Pittsburgh Medical Center and a professor of medicine, obstetrics and gynecology at the University of Pittsburgh School of Medicine.

Initial results were released from the Women's Health Study in 2002. Those findings suggested that HRT increased a user's risk of breast cancer and -- more surprisingly -- their risk of heart disease. Older women were immediately advised to stop taking hormones, and even women just entering menopause were advised against using hormone therapy.

However, what wasn't widely understood at the time was that the women in the study tended to be long past menopause -- often by at least 10 years -- when they started taking the hormones. Additionally, the summit experts pointed out that one-third of the women in the trial were obese, more than one-third had high blood pressure, and almost half were current or former smokers. All of these factors could raise the risk of heart disease on their own.

To assess the effects of HRT in younger women, more than 40 experts from all over the world reviewed available data on the safety and efficacy of hormone replacement therapy, paying particular attention to four key areas: cardiovascular health, breast issues, cognition and bone health.

Findings from this summit were expected to be presented Tuesday at the World Congress on the Menopause in Madrid, Spain. Some of the key findings included:

  • Combined estrogen and progesterone do not increase heart disease risk in women aged 50 to 59.
  • Estrogen therapy alone decreased the risk of heart disease in women between 50 and 59.
  • Hormone replacement therapy helps maintain bone health.
  • Cognition isn't impaired by the use of hormones between 50 and 59; hormone therapy may help prevent some cognitive decline in this age group.
  • Combined use of estrogen and progesterone may increase the risk of breast cancer after 5 years of use; estrogen-alone therapy appeared to bring no increase in risk of breast cancer after at least 7 years of use. The researchers felt the increase for breast cancer risk from hormone therapy was small, especially when compared to other risk factors, such as obesity.

Lobo said there are women who definitely shouldn't take HRT: those who already have heart disease, those who've had breast cancer, and women with a history of blood clots.

McNeil said she doesn't recommend HRT for women with multiple risk factors for heart disease, such as diabetes, high blood pressure, a strong family history, or smokers.

"A woman who's healthy and has symptoms, [such as hot flashes or vaginal dryness], going into menopause will reap some quality of life benefits from hormones," said Lobo, who added that the protective effects seen in bone health and in cardiovascular risk are additional benefits for women taking hormones for symptom relief.

"I don't think we'll ever prescribe hormones solely for heart disease, but it's a side benefit," he said.

"For the first five years of therapy, there's no increased risk of breast cancer and for the normal-risk patients, there's no increased risk of cardiovascular disease, so women can feel comfortable that their symptoms can be managed effectively," said McNeil.

"Hormone therapy isn't for everyone, [but if you have symptoms], don't suffer, talk to your doc," advised Lobo.

More information

Learn more about hormone therapy and menopause from the U.S. Food and Drug Administration.



SOURCES: Roger Lobo, M.D., professor, obstetrics and gynecology, Columbia University, New York City; Melissa McNeil, M.D., professor of medicine, obstetrics and gynecology, University of Pittsburgh School of Medicine, and chief, section of women's health, University of Pittsburgh Medical Center, Pa.; May 20, 2008, presentation, World Congress on the Menopause, Madrid, Spain


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Patients, Doctors, Pharmacists Praise Bipartisan House Resolution on Compounded Hormones Containing Estriol
2. Hunger Hormone Makes Food Look More Tasty
3. Heart Hormone Elevated in Children Who Wet Bed
4. Pituitary Hormone May Boost Womens Heart Risk
5. Womens biological clock revealed: Hormone may predict age at menopause
6. ENDO 08: Latest news on hormones, steroids, obesity, diabetes and more
7. Growth Hormone is Used to Treat Twice as Many Short Boys Than Girls in the U.S. and Asia; Gender Difference is Smaller in the Rest of the World
8. Growth hormone is used to treat twice as many short boys than girls in the US and Asia
9. Hormone Replacement May Cut Risk for Age-Linked Eye Disease
10. Hormone Combo May Provide Reversible Male Birth Control Tool
11. Alert to Women: What Your Doctor Prescribed for Hormone Replacement May Be Killing You and Your Rights Are About to Be Taken Away
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Hormone Therapy Safe, Effective for Women Entering Menopause
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture animations, ... Christina Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms ... Final Cut Pro X . Simply select a ProHand generator and drag it above ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. Omkar ... M.D from the David Geffen School of Medicine at UCLA. He trained in Internal ... complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, Secretary ... Work award to iHire in recognition of their exemplary accomplishments in worksite health promotion. ... Maryland Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire ...
(Date:6/24/2016)... Angeles, CA (PRWEB) , ... June 24, 2016 , ... ... surgery procedures that most people are unfamiliar with. The article goes on to state ... procedures, but also many of these less common operations such as calf and cheek ...
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is World Sickle Cell Observance ... and the benefits of holistic treatments, Serenity Recovery Center of Marne, Michigan, ... Disease. , Sickle Cell Disease (SCD) is a disorder of the red blood cells, ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... FRANCISCO, Calif. , June 24, 2016 /PRNewswire/ ... ), a biopharmaceutical company developing novel therapeutics for ... unmet needs, today announced the closing of its ... of common stock, at the public offering price ... in the offering were offered by GBT. GBT ...
(Date:6/24/2016)... ALEXANDRIA, Va. , June 24, 2016 ... a set of recommendations that would allow ... information (HCEI) with entities that make formulary and coverage ... determine the "value" of new medicines. The ... that does not appear on the drug label, a ...
(Date:6/24/2016)... -- According to a new market research ... Safety Pen Needles), Needle Length (4mm, 5mm, 6mm, 8mm, ... Purchase (Retail, Non-Retail) - Trends & Global Forecasts to ... for the forecast period of 2016 to 2021. This ... 2021 from USD 1.65 Billion in 2016, growing at ...
Breaking Medicine Technology: