Hormone replacement therapy: to use or not to use?

被引:11
|
作者
Baber, RJ [1 ]
O'Hara, JL
Boyle, FM
机构
[1] Univ Sydney, Dept Obstet & Gynaecol, Fac Med, Sydney, NSW 2006, Australia
[2] Univ Sydney, No Clin Sch, Sydney, NSW 2006, Australia
关键词
D O I
10.5694/j.1326-5377.2003.tb05389.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The main indication for hormone replacement therapy (HRT) is to control menopausal symptoms and improve quality of life. Ideally, withdrawal of HRT should be attempted after 4-5 years of therapy. HRT reduces fracture risk and remains appropriate therapy for osteoporosis, particularly in women with symptoms. HRT is not appropriate for primary or secondary cardioprotection. HRT leads to a small increase in breast cancer incidence, which increases with duration of therapy and age. HRT increases the risk of thromboembolism. Patient management and therapy should be reviewed annually with risk-benefit counselling.
引用
收藏
页码:630 / 633
页数:4
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