Intended for healthcare professionals

Rapid response to:

Practice Therapeutics

Hormone replacement therapy

BMJ 2012; 344 doi: (Published 16 February 2012) Cite this as: BMJ 2012;344:e763

Rapid Response:

Re: Hormone replacement therapy

Dear Jim

Thanks for your response. No, this is not an advert for HRT. We have tried to present an evidence based approach to managing troublesome symptoms at menopause. I agree that is difficult to provide risk benefit ratios for individual women, but this is what we need to do in clinical practice. WHI largely recruited asymtomatic women, so we would not expect HRT to improve quality of life. We did include information about recurrence of hot flushes after stopping HRT.

Many women do decide to live with their hot flushes. Others are unable to function and need treatment. We have tried to provide a balanced approach to both hormonal and non-hormonal strategies, and to non-pharmacological approaches such as CBT. There is now lots of information about HRT: good, bad and ugly. This helps women to make informed decisions about use, and our article is aimed at helping this decision.

Best wishes, Martha

Competing interests: Author

03 March 2012
Martha Hickey
University of Melbourne
Parkville, Victoria, Australia