Estrogen Therapy: WHI Initiative in Perspective (cont.)
EPT is still the best therapy for hot flashes, and many women remain good
candidates for EPT therapy, despite the WHI study. This is especially true if
EPT is limited to the shortest duration possible, optimally less than 5 years.
Women shouldn't stop EPT suddenly. They should wean down slowly to avoid
having withdrawal symptoms. EPT should not be used to prevent or treat either
Alzheimer's disease, heart disease, or stroke. Some alternatives to EPT are
available to women who cannot or do not wish to take EPT, although these
alternatives don't work as well as EPT to treat hot flashes and are not
FDA-approved to treat hot flashes. Women (and men) should always question whether medical
research comes from randomized controlled trials (the highest quality research
In regard to the use of EPT as osteoporosis prevention, many non-hormonal alternatives exist to treat osteoporosis.
As a final thought, women should speak to their physicians on an individual basis to
determine the right treatment plan for them. At least that's something that still hasn't
Last Editorial Review: 7/17/2003