Menopause

Question 1

Aims of hormone replacement therapy (HRT) (3)

Answer 1

• symptom relief
• prevention
• longevity

Question 2

We aim to prevent these conditions in menopause (5)

Answer 2

• heart disease
• osteoporosis
• colon cancer
• breast cancer
• Alzheimer’s

Question 3

Osteoporosis treatment

Answer 3

alendronate

increases bone mineral density and decreases risk of fractures at about the rate as estrogen

Question 4

Does physical fitness has about the same effect on all causes of morality as estrogen?

Answer 4

Yes

Question 5

What has greater impact on life expectancy: smoking cessation or HRT?

Answer 5

smoking cessation

Question 6

What to do in practice? (5)

Answer 6

Decision guide

Lifestyle efforts

Public policy supportive of lifestyle

Prescribe for severe menopausal symptoms

Consider prescribing (later in life) for osteoporosis prevention