What are your conclusions with regard to the risks and benefits with HRT?

For many years we believed the evidence indicated that the benefits outweighed the risks (19 –Figure 28.2). More recent evidence has shown that HRT does not reduce heart disease beyond the menopause. The risks only outweigh the risks for women who are having significant menopausal symptoms.

There is debate as to how much the support, understanding and care provided may be assisting patients on HRT but this is true for any treatment. Most patients attending HRT clinics report tremendous benefits from treatment and the majority of women have no problems with side effects.?


Ultimately it is for each woman to decide for herself, from an unbiased summary of the available information, whether she wishes to commence HRT and then to continue with it.

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