Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
The hormone continuum: Accrual of women's health benefits
Autore:
Linn, ES; Kaunitz, AM; Schnare, S; Taylor, M;
Indirizzi:
Advocate Lutheran Gen Hosp, Dept Obstet & Gynecol, Pk Ridge, IL 60068 USA Advocate Lutheran Gen Hosp Pk Ridge IL USA 60068 , Pk Ridge, IL 60068 USA Univ Florida, Hlth Sci Ctr, Dept Obstet & Gynecol, Jacksonville, FL 32209 USA Univ Florida Jacksonville FL USA 32209 ynecol, Jacksonville, FL 32209 USA Univ Washington, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 iv Washington, Seattle, WA 98195 USA Univ Calif San Francisco, Dept Obstet Gynecol & Reprod Sci, San Francisco,CA 94143 USA Univ Calif San Francisco San Francisco CA USA 94143 rancisco,CA 94143 USA
Titolo Testata:
INTERNATIONAL JOURNAL OF FERTILITY AND WOMENS MEDICINE
fascicolo: 2, volume: 46, anno: 2001,
pagine: 60 - 72
SICI:
1534-892X(200103/04)46:2<60:THCAOW>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
ORAL-CONTRACEPTIVE USE; BONE-MINERAL DENSITY; G ETHINYL ESTRADIOL; REPLACEMENT THERAPY; PERIMENOPAUSAL WOMEN; POSTMENOPAUSAL WOMEN; UNITED-STATES; RHEUMATOID-ARTHRITIS; CONSTANT-ESTROGEN; COLORECTAL-CANCER;
Keywords:
oral contraceptives; hormone replacement therapy; noncontraceptive health benefits; perimenopause; menopause; breast cancer; Alzheimer's disease; patient counseling;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
85
Recensione:
Indirizzi per estratti:
Indirizzo: Linn, ES Advocate Lutheran Gen Hosp, Dept Obstet & Gynecol, 1775 Dempster St, Pk Ridge, IL 60068 USA Advocate Lutheran Gen Hosp 1775 Dempster St Pk Ridge IL USA 60068
Citazione:
E.S. Linn et al., "The hormone continuum: Accrual of women's health benefits", INT J F W M, 46(2), 2001, pp. 60-72

Abstract

The hormone continuum is a treatment strategy that advocates maintaining hormone continuity, from the reproductive years into menopause and beyond. This entails the use first of oral contraceptives (OCs), which confer well-known health benefits-especially reductions in ovarian and endometrial cancers-besides effective contraception, and later, hormone replacement therapy (HRT), which provides relief of perimenopausal and menopausal symptoms and protects older women from (a) decreasing bone mineral density; (b) cardiovascular disease, according to several studies; and (c) Alzheimer's disease, as suggested by a number of studies. In perimenopause, use of OCs declines by about one-half, and then by a further four-fifths up to menopause. This is unfortunate, because in these later reproductive years women are subject to unintended pregnancy, which in 65% of cases is terminated by abortion. Furthermore, women are thereby deprived also of alleviation of dysmenorrhea and even vasomotor symptoms that often characterize the perimenopause. After menopause is well established, a "seamless" transition to HRT can bemade, often with the same progestin that was contained in the OC. This paper discusses risks as well as benefits of hormone therapy, especially of HRT, with an emphasis on patient counseling and individualizing of therapy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 22:24:01