Cases in Menopause
When should a menopausal woman discontinue hormone therapy?
Although this question is common in clinical practice, the answer isn’t clear-cut
Related Article: Update: Menopause Andrew M. Kaunitz, MD (May 2010)
THE BOTTOM LINE
We need to look at the totality of the data on menopausal HT, evaluate our patients individually, treat those who are truly hormonally deficient and suffering, and counsel them that many of the harms linked to HT have been exaggerated.
The pendulum is finally swinging back toward a more balanced assessment of the benefits and risks of HT, indicating that it may be appropriate for primary prevention of cardiovascular disease, osteoporosis, and type 2 diabetes—and thus can potentially expand the lifespan. It’s up to us to communicate this fact to our patients.
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