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LETTERS:
Kishore Shetty, Eberhard Greiser, Claudia Steding, Klaus Giersiepen, and Katrin Janhsen
Hormone replacement therapy
BMJ 2002; 325: 1243 [Full text]
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[Read Rapid Response] Why we have to manipulate a physiological condition?
Hülya KULA, Serdar KULA   (22 November 2002)
[Read Rapid Response] Re: Why we have to manipulate a physiological condition?
dr.manan vasenwala   (26 November 2002)

Why we have to manipulate a physiological condition? 22 November 2002
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Hülya KULA,
Fellow in Obstetric and Gynecology
Gazi University Medical School, Besevler,Ankara, TURKEY,
Serdar KULA

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Re: Why we have to manipulate a physiological condition?

Dear Colleagues,

We should look at this condition at the other side. The menopause is one of the physiological conditions of women's life. Therefore in our opinion, we shouldn't manipulate this condition except in seriously symptomatic patients.

Competing interests:   None declared

Re: Why we have to manipulate a physiological condition? 26 November 2002
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dr.manan vasenwala,
consultant-cardiologist (non-invasive)
k.k.heart center, aligarh.202002,INDIA

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Re: Re: Why we have to manipulate a physiological condition?

dear sir, i entirely agree with you that we should leave physiological conditions alone. however, our current life style have converted a physiological process into a pathological one. women face severe daily stress, plus co- morbid conditions like diabetes, htn, ihd, thyroid disorders, hyperlipidemia have taken a toll. the menopause has increasingly become premature. also falling rates of child birth, with lack of breast feeding have also distorted the physiology. women with menopause tend to be more symptomatic. also increasing longevity has resulted in osteoposis , and various nerve entrapment syndromes.HRT is a good option for relief of symptoms and protection against cvs diseases, and now reportedly for alzheimer'sdementia too.

other physiological conditions also do exist like cataracts, benign prostatic enlargement in males, osteoarthritis, loss of physical strength, memory loss ,graying of hairs, wrinkling of facial skin,etc.. all of these conditions cry aloud for remedy.

Competing interests:   None declared