Re: Hormone replacement therapy
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