Aug 2016: Is there a time limit for systemic menopausal hormone therapy?  Ovarian Cancer and Us OVARIAN CANCER and US Ovarian Cancer and Us

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Saturday, August 20, 2016

Aug 2016: Is there a time limit for systemic menopausal hormone therapy? 



Cleveland Clinic Journal of Medicine


KEY POINTS
  • Hormone therapy is the most effective treatment available for the vasomotor symptoms of menopause, and it also is effective and appropriate for preventing osteoporosis-related fracture in at-risk women under age 60 or within 10 years of menopause.
  • Oral hormone therapy is associated with a small but statistically significant increase in the risk of stroke and venous thromboembolism and breast cancer risk with combination therapy only.
  • Extended hormone therapy may be appropriate to treat vasomotor symptoms or prevent osteoporosis when alternative therapies are not an option.
  • The decision whether to continue hormone therapy should be revisited every year. Discussions with patients should include the perspective of absolute risk.

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