Menopausal Hormone Therapy . . . Current Concepts
Medical Author: Carolyn J. Crandall, MD,
Medical Editor: William C. Shiel, Jr., MD, FACP, FACR
Well women, here we go again...Estrogen Therapy (ET) Confusion!
July 2002 brought a confusing mass of media reports for
the public and the physicians, owing to publication of the results of the
First of all, it's interesting to notice what we ALREADY knew before the
recent, highly publicized Women's Health Initiative:
therapy (HT) probably does not protect against heart disease or
stroke, contrary to what many researchers used to think several years ago.
- Hormone therapy (HT) probably does protect
against colon cancer and hip fractures, but scientists were not really
positive prior to WHI.
- Hormone therapy (HT), particular Estrogen/Progesterone Therapy (EPT), over the longer term
probably increased the risk of
breast cancer (but only after 5 years
of continuous treatment), and the progesterone that is used with estrogen is
probably bad for the breast
- Hormone therapy (HT) increases the risk of vein clots in the legs and