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Debunking the Chaos: Hormone Therapy For Menopause in the Limelight

health

By Clara T.

- May 27, 2024

The medical fraternity has a long history of sending mixed signals about hormone therapy used for managing menopause symptoms. Can it be safely used to give you relief from night sweats and hot flashes? Or does it open the Pandora's box of potential risks? Brace yourself for the ultimate fact-check, shedding light on these very gray areas.

A fresh analysis of data from a research study, the Women’s Health Initiative, that spanned over two decades, validates that hormone therapy is indeed safe. This recently published study in JAMA establishes that, irrespective of the age group, hormone therapy does not enhance the likelihood of death from overall causes when compared with a placebo.

The initial trial results may have hinted at an increased heart attack danger over 20 years ago, but the testament of time revealed no significant difference between the use of hormone therapy and non-use. Amidst young hormone users, stroke risk was significantly low – with fewer than one additional case per 1,000 women resorting to estrogen-progestin therapy, and no heightened risk with estrogen alone.

You may wonder about breast cancer risk. Like every good story, it involves a twist. If you’ve undergone a hysterectomy and used estrogen alone, you experience a 20 percent reduction in breast cancer risk over the follow-up duration. On the flip, extended use of combination hormone therapy, inclusive of both estrogen and progestin, can enhance the relative risk of breast cancer by about 20 percent; however, the absolute risk remains low.

Fracture risk for hormone users rings in 33% lower across all age groups, compared to the placebo. Hormone therapy also secures FDA-approval, backing its current use for bone loss reduction and fracture prevention.

The risk versus benefit debate of hormone therapy is tipped favorably towards those 60 or younger, in alignment with previous research findings. Experts harbor hope that these latest revelations will set doubts to rest and craft a better understanding of hormone therapy's pros and cons.

Asking the real experts, we quizzed Stephanie Faubion, MD, acclaimed director of the Center for Women's Health at Mayo Clinic, to dig deep into the hormonal confusion. Read on, as she provides insights into hormone therapy, championing its effectiveness and safety while treating menopause symptoms. Her clarity on hormone therapy should lay your fears to rest, unmasking the facts behind the medical facade.

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