By Jay Schulkin

The choice making procedure that underlies ovarian hormone remedy (HT) is fallible. hence, the choice for ladies to head on HT continues to be debatable. At a time while confusion nonetheless permeates the choice making with reference to HT, this booklet bridges different positive aspects that encompass the choice making bearing on HT. The ebook is written for either experts and generalists within the box.

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Extra info for Medical Decisions, Estrogen and Aging

Sample text

The origins of placing medical decision-making within the culture of science were crystallized in the first part of the twentieth century with the publication of the Flexner Report (1910). , Peirce, 1878, 1898; Hanson, 1958; Hacking, 1990). The point was to demythologize science, to make it accessible to physicians, and bring them into the culture of discovery, science and knowledge. In other words, the goal of the Flexner Report, and of the reforms it catalogued and stimulated, was to ensure that US medical education be based in the culture of scientific research, to bring the culture of scientific fact-finding and reasoning to the practicing physician.

6 Recurrent Controversy and Confusion 19 estrogenic compounds (Watkins, 2002). It is the responsibility of the producers of products, including hormone products, to indicate what is in the product and what its dangers are (Angell, 2004). Still, seductive advertising is an omnipresent reality, and how many unbiased and fully educated expert physicians or consumers are there? 6 Recurrent Controversy and Confusion Three major studies, and any number of smaller ones, conducted since the use of HT became widespread among women in industrialized countries, continue to raise concerns about the effects of hormone therapy.

For the purposes of these guidelines, HT was considered a replacement as estrogen alone, or estrogen plus progesterone (diverse forms and diverse forms of delivery). The conclusions from this study were that the use of HT (either estrogen alone or estrogen plus progesterone) is not recommended for women who have had breast cancer. Indeed, women who have had breast cancer are at a greater risk of breast cancer in the absence of HT, and HT increases their risk beyond that of a similar woman without a history of breast cancer.

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