TY - JOUR
T1 - Hormontherapie um die Menopause
T2 - Ein aktueller Blick
AU - Seifert-Klauss, V.
AU - Schumm-Draeger, P. M.
PY - 2003/12
Y1 - 2003/12
N2 - While the use of hormone replacement therapy (HRT) for prophylactic indications such as cardiovascular disease, osteoporosis, and Alzheimer's disease was increasingly propagated during the 1990s, recent studies have reported no risk reduction for women after myocardial infarction (HERS) or women from a mixed population with an average age of 63 years (Women's Health Initiative [WHI] Study). The results of the latter study even suggest an increased risk for cardiovascular events and breast cancer with previous or ongoing combined oral estrogen plus progestin. A final risk-benefit assessment for estrogen monotherapy will only be possible after the ongoing part of the WHI Study has been evaluated, expected in 2005. As effects, side effects, and contraindications for HRT in postmenopausal women are better known, the need for individualized risk assessment and the definition of therapeutic goals increases. Since the WHI Study did not address the risk-benefit ratio for women with perimenopausal complaints or osteoporosis or with lower dose hormone preparations commonly used in Germany, there is an urgent need to answer these open questions with large confirmative studies.
AB - While the use of hormone replacement therapy (HRT) for prophylactic indications such as cardiovascular disease, osteoporosis, and Alzheimer's disease was increasingly propagated during the 1990s, recent studies have reported no risk reduction for women after myocardial infarction (HERS) or women from a mixed population with an average age of 63 years (Women's Health Initiative [WHI] Study). The results of the latter study even suggest an increased risk for cardiovascular events and breast cancer with previous or ongoing combined oral estrogen plus progestin. A final risk-benefit assessment for estrogen monotherapy will only be possible after the ongoing part of the WHI Study has been evaluated, expected in 2005. As effects, side effects, and contraindications for HRT in postmenopausal women are better known, the need for individualized risk assessment and the definition of therapeutic goals increases. Since the WHI Study did not address the risk-benefit ratio for women with perimenopausal complaints or osteoporosis or with lower dose hormone preparations commonly used in Germany, there is an urgent need to answer these open questions with large confirmative studies.
KW - Cardiovascular disease
KW - Hormone replacement therapy
KW - Osteoporosis
KW - Perimenopause Postmenopause
UR - http://www.scopus.com/inward/record.url?scp=0346881646&partnerID=8YFLogxK
U2 - 10.1007/s00108-003-1080-8
DO - 10.1007/s00108-003-1080-8
M3 - Übersichtsartikel
C2 - 14689192
AN - SCOPUS:0346881646
SN - 0020-9554
VL - 44
SP - 1500
EP - 1507
JO - Internist
JF - Internist
IS - 12
ER -