By Larry Matson Grillo HealthInformation Center Q: I've used hormone replacement therapy for hot flashes, and now I'm considering staying on it because I feel better. However, I'm concerned about breast cancer. Is this concern justified? A: This question addresses the long-term use of hormone replacement therapy as a preventive health strategy for post-menopausal women. It's a different question than using hormones for menopausal symptoms such as hot flashes. The risks from short-term use are minimal, and the benefits are clear. The latest consensus statement (2013) from seven major international and U.S. societies working in women's health concluded that the benefits of hormone replacement therapy for treating moderate to severe symptoms outweigh the risks up to age 60 or 10 years post-menopause. What about after 60? This can be a wonderful time of life, but chronic conditions such as heart disease, breast cancer, fractures, and dementia can threaten the quality of life. Twenty years ago, hormone replacement therapy was widely considered beneficial for all of these conditions. Then, in 2002, the Women's Health Initiative, a massive National Institutes of Health-sponsored study of women's health issues, reported a significant increase in breast cancer in women using hormone replacement therapy. With this … Continue reading
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