Furthermore, the task force recommended against the use of estrogen for the prevention of chronic conditions in postmenopausal women who have had a hysterectomy -- also a "D" recommendation. The median age for menopause is 51.3. Because the postmenopausal change in hormone levels can raise women's risk for chronic conditions such as heart disease, osteoporosis and fractures, physicians previously recommended hormone therapy for these women. Menopausal hormone therapy refers to the use of estrogen and progestin in women with an intact uterus, or estrogen alone in women who have had their uterus removed, taken during or after menopause. Once the Women's Health Initiative (WHI) published its findings(www.nhlbi.nih.gov) that hormone therapy use is associated with serious adverse health effects, use of menopausal hormone therapy declined sharply. During the years 1988-1994, 44 percent of U.S. women said they use or had used hormone therapy; 4.7 percent said they used or had used it in 2010. "The benefits of using menopausal hormone therapy to prevent chronic conditions like heart disease and diabetes do not outweigh the harms in women who have gone through menopause," said USPSTF member Maureen Phipps, M.D., M.P.H., in a news bulletin.(www.uspreventiveservicestaskforce.org) This draft recommendation is consistent with the USPSTF's … Continue reading
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