Government panel: Hormone therapy ‘not recommended’
Researchers found that women between the ages of 50 and 55 years old who took estrogen or estrogen with progesterone performed just as well on tests that measure memory problems as women of the same age who took a placebo. “Our findings are that we didn’t see any long term impact on cognitive function,” said Mark Espeland, the study’s lead author, from the Wake Forest School of Medicine in Winston-Salem, North Carolina. Previous studies had found that women 65 years old and older suffered lasting memory problems when they used hormone therapy to treat symptoms of menopause, such as hot flashes, vaginal dryness and trouble sleeping. Imaging tests even found that the brains of those older women assigned to hormone therapy had become smaller, compared to those who took a placebo. Currently, the government-backed U.S.
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Manning wants hormone therapy in prison. Will it happen?
As with combination therapy, the risk of fractures is lower, but there is an increased risk of stroke, gallbladder disease, deep vein thrombosis and urinary incontinence. “Another apparently paradoxical finding is that estrogen and progestin impart a small increase in the risks for developing and dying from breast cancer, whereas estrogen alone appears to slightly reduce these risks,” according to the U.S. Preventive Services Task Force document outlining the draft recommendations. Researchers detected the lower risk of breast cancer after 11 years of follow-up; those findings and other data were enough to trigger a new look at hormone therapy research, Bibbins-Domingo said. “It’s not that the findings are new,” said Crandall, who is not part of the task force. “But they give a practical sense about how to counsel someone about the rare but serious harms of taking hormone therapy.” The new recommendations are based on a review of data, published Monday in the Annals of Internal Medicine, covering nine clinical trials over the last decade. The standard of care shifted for many doctors after the Women’s Health Initiative trial was halted, but updated recommendations from the task force are important because many patients still have questions, and many doctors are reluctant to let go of old prescribing habits, Crandall said.
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I hope that you will support me in this transition. Right now, Army policy suggests theres a lot of space between requesting hormone therapy and actually receiving it. At the same time, recent case law might make Mannings argument a bit stronger, after other inmates have successfully petitioned their facilities for treatment. Manning was sentenced to serve 35 years at Fort Leavenworth Prison, a military prison in Kansas. A spokeswoman for the facility has already told the Today Show thatthe Army does not provide hormone therapy or sex-reassignment surgery for gender identity disorder. In response, Mannings lawyer, David Coombs, told the same program that, If Fort Leavenworth does not, then Im going to do everything in my power to make sure they are forced to do so. If Coombs does seek legal action, it wouldnt be unprecedented. The United States Bureau of Prisons recently faced challenges to its policy of only providing hormone therapy to an inmate if that person had received such care prior to incarceration. Where inmates have been denied care, courts have said thats unconstitutional, says Jennifer Levi, director of the Transgender Rights Project at Gay and Lesbian Advocates and Defenders.
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Can hormone therapy help protect the brain?
October 25, 2012 at 10:47 | Report abuse | Reply MCR This has been known for a while and I still find both media and health professionals trying to deny this evidence, promoting instead the idea that HRT is “unnatural”. Any woman with a family history Alzheimer’s should be taking a very serious look at HRT as a preventative measure. October 25, 2012 at 14:09 | Report abuse | Reply WS Its good to see a better and more balanced study on hormone therapy. Hormone (testosterone) replacement for men doesnt seem to be questioned like it is for women. This is just indicative of the gender bias in health care. Ironically though women are more likely to need hormone replacement since 1 in 3 has a hysterectomy by age 60 and 1 in 2 by age 72, most of which are unwarranted.
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