Estrogen replacement therapy in practice: trends and issues

Article Abstract:

Physicians may need to tailor estrogen replacement therapy (ERT) to individual patients and explain how it works to ensure that women will accept ERT and continue taking it for years. Estrogen treatments first became available in 1926 but did not become widely used until the 1980s. Postmenopausal women in developed countries are increasingly using ERT. In the U.S., usage climbed from 5.3% in 1981 to 10.9% in 1990 among women eligible for treatment. Reasons for using ERT are physician recommendations and desire for relief of symptoms. Primary care physicians may need to gain more knowledge about ERT since they treat many postmenopausal complaints. Women may stop taking ERT because of fear of cancer, complicated treatment schedules, side effects, and lack of understanding of how treatments work.

Demographic aspects

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Better postural balance in elderly women receiving estrogens

Article Abstract:

Improvements in balance may partly explain the low hip and arm fracture rates seen in older women taking estrogen therapy. Balance tests were performed on 16 women with an average age of 67.9 years taking estrogen and 16 women with an average age of 68.3 years not taking estrogen. Tests were repeated after blindfolding and muscle stimulation to disturb their balance. Women taking estrogen performed significantly better than those not taking estrogen. Women with higher estrogen blood levels and lower follicle-stimulating hormone blood levels had more improved balance.

Evaluation, Physiological aspects, Posture, Aged women, Elderly women

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Virilization in a postmenopausal woman as a result of hilus cell hyperplasia associated with a simple ovarian cyst

Article Abstract:

A simple ovarian cyst may be the cause of masculine characteristics in postmenopausal women. A 68-year-old woman sought medical attention after 10 years of progressive balding and body hair growth. High levels of the masculine hormones testosterone and androstenedione were detected in her blood. An ultrasound examination of her ovaries revealed an ovarian cyst. The cyst was found to be producing high levels of the masculine hormones. The masculine characteristics went away after surgery to remove the hilus cell ovarian cyst. Such a cyst may or may not be benign.

Causes of, Ovaries, Ovarian cysts, Virilism

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