TAILIEUCHUNG - The Menopause, Hormone Therapy, and Women's Health

research for this report was conducted from november 2008 to January 2009. it consisted of an extensive review of documents and websites from governmental and non-governmental sources; in-depth interviews based on semi-structured questionnaires; and two focus groups. one focus group comprised five health care workers, while the other was composed of four hiV-positive mothers, one of whom was pregnant at the time. a total of 23 people were interviewed in six cities across argentina: buenos aires, mar del plata, montegrande, rosario, tres arroyos, and tucumán. they included representatives from Un agencies (Unaids, Unfpa and Unicef); national aids authority staff; local aids. | The Menopause Hormone Therapy and Women s Health May 1992 OTA-BP-BA-88 NTIS order PB92-182096 GPO stock 052-003-01284-7 Recommended Citation . Congress Office of Technology Assessment The Menopause Hormone Therapy and Women s Health OTA-BP-BA-88 Washington DC . Government Printing Office May 1992 . For sale by the . Government Printing Office Superintendent of Documents Mail Stop SSOP Washington DC 20402-9328 ISBN 0-16 -037912-1 Foreword Few topics in women s medicine today are as fraught with confusion and controversy as the question of appropriate treatments for menopausal symptoms and the prevention of negative long-term health outcomes common to postmenopausal women such as osteoporosis and cardiovascular disease. A better understanding of the natural history of the menopause is critical to providing better care. Despite its universality as an event in human female aging the menopause and its biology are incompletely understood. Researchers are becoming increasingly convinced however that the loss of ovarian hormones plays a significant role in the development of age-related problems in women. If women and their physicians had a better understanding of predictors of risk they could make more informed decisions about interventions related to menopausal symptoms cardiovascular disease osteoporosis and gynecologic and breast cancer. Few other recently introduced medical interventions have as great a potential for affecting morbidity and mortality as does hormone therapy which maintains estrogen levels in postmenopausal women to near those of premenopausal women. Hormone therapy has pronounced effects on health risks Some are reduced some are increased and some remain uncertain and these data are interpreted differently by various scientific medical and consumer groups. The debate over hormone therapy focuses on whether it should be used to treat menopausal symptoms for a short period of time thereby reducing any risks associated with long-term treatment .

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