Tuesday, October 19, 2010

Menopause: Gynecology and Obstetrics: Merck Manual Professional

http://www.merck.com/mmpe/sec18/ch245/ch245a.html?qt=hormone%20replacement%20therapy&alt=sh#S18_CH245_T001

Table 1

Effects of Oral Hormone Therapy on Yearly Incidence* of Selected Disorders in Postmenopausal Women

Disorder

Without Treatment

With Treatment

Combined Estrogen-Progestin Therapy

Breast cancer

30

38

Colorectal cancer

16

10

Coronary artery disease†

30

37

Dementia

22

45

Ischemic stroke

21

29

Osteoporosis

15

10

Pulmonary embolism

16

34

Estrogen-Only Therapy

Hip fractures

17

11

Ischemic stroke

32

44

*Per 10,000 women.

†Number of coronary events such as nonfatal acute coronary syndrome and death due to coronary artery disease.

Last full review/revision July 2007 by Susan L. Hendrix, DO

Content last modified July 2007






Physiologic menopause is established when menses have been absent for 1 yr. In the US, average age of physiologic menopause is 51. Perimenopause refers to the years before (duration varies greatly) and the 1 yr after the last menses.



Hormone therapy:

  • For many women, risks of oral hormone therapy outweigh the benefits.
  • Women who have a uterus and are given an estrogen must also be given a progestin.






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