The current problem with HRT
is that the mid week press conferences staged before publication
of the Million Women Study and the WHI Studies has encouraged
the front pages to pick up the worst news before it is properly
analysed by the scientific community. This bad news
is now in the public memory and will take years to erase.
This message is confusing as it should be the opposite of
the press reports.
For example, the recent publication
of the "oestrogen only arm" of the WHI was stopped "because
of an increase in strokes without any increase in heart
attacks and breast cancer".
is untrue. On analysis of the women who start HRT
from age 50-60, (which is 97% of our patients), the results
are very different.
There is no increase in strokes.
There is also a 48% decrease in heart attacks, a 28% decrease
in breast cancer, a 40% decrease in colorectal cancer a
30% decrease in osteoporotic fractures and a 22% decrease
in mortality by the end of this 7 year study.
We have to ask why the press
was manipulated in this cynical way.
John STUDD, DSc, MD, FRCOG
Professor of Gynaecology
29th July 2004
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