
Attitudes and practices of gynecologists in Jaipur toward management of menopause
Author(s) -
Shuchita Meherishi,
Sunila Khandelwal,
M L Swarankar,
Prabhleen Kaur
Publication year - 2010
Publication title -
journal of mid-life health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.423
H-Index - 11
eISSN - 0976-7819
pISSN - 0976-7800
DOI - 10.4103/0976-7800.76216
Subject(s) - menopause , medicine , medical prescription , hormone replacement therapy (female to male) , family medicine , hormone therapy , popularity , alternative medicine , disease , gynecology , psychology , nursing , social psychology , pathology , cancer , breast cancer , testosterone (patch)
In earlier days, hormone replacement therapy (HRT) was recommended for menopause symptoms and also gained much popularity. However, the Women's Health Initiative (WHI) studies suggested an increased risk of cardiovascular and Alzheimer's disease. These findings led to a dramatic decrease in hormone therapy (HT) prescriptions all over the world. However, the WHI conclusions remain debatable especially because of contradictory results from antecedent studies. Inspite of these controversies, post-WHI, most gynecologists refrain from prescribing MHT (menopausal hormone replacement therapy, MHT). Furthermore, many Indian gynecologists prefer to prescribe alternative treatments that would help alleviate symptoms and thus avoid HRT. We decided to carry out a survey and document the current opinions regarding indications of HRT and alternative therapies and prescribing practices of Jaipur-based gynecologists.