Skip to main content
Top
Published in: Journal of General Internal Medicine 3/2021

01-03-2021 | Genitourinary Syndrome of Menopause | Perspective

Facing Provider Misconceptions Towards the Use of Hormone Therapy in 2020

Author: Heather Hirsch, MD, MS, NCMP

Published in: Journal of General Internal Medicine | Issue 3/2021

Login to get access

Excerpt

The New England Journal of Medicine recently published a clinical vignette highlighting the treatment of menopause by Dr. JoAnn V. Pinkerton, former North American Menopause Society (NAMS) executive director and president.1 The vignette highlighted that hormone therapy (HT) should be considered first-line therapy for vasomotor symptom (VMS) treatment in women who are less than ten years from menopause and who have no known contraindications to HT use. However, what still needs to be addressed is the need for dialogue surrounding the misconceptions that physicians and laywomen have about hormone therapy. Since 2002 when results of the Women’s Health Initiative (WHI) first hit the front pages of newspapers, the evening news, and physicians’ inboxes, a deep-rooted idea has persisted throughout US culture that estrogen is dangerous and harmful despite significant evidence to the contrary.24
Literature
1.
go back to reference Pinkerton V JoAnn. Hormone Therapy for Postmenopausal Women. NEJM. 2020. Pinkerton V JoAnn. Hormone Therapy for Postmenopausal Women. NEJM. 2020.
2.
go back to reference Hoffmann M, Hammar M, Kiellgren KL et al. Change in women’s attitudes towards and use of hormone therapy after HERS and WHI. Maturitas. 2005;52(1):11-7.CrossRef Hoffmann M, Hammar M, Kiellgren KL et al. Change in women’s attitudes towards and use of hormone therapy after HERS and WHI. Maturitas. 2005;52(1):11-7.CrossRef
3.
go back to reference Huston SA, Kirking DM, Shimp LA. Use, intentions, and beliefs about hormone replacement therapy in women with and without diabetes. Marturitas. 2006;55(1):58-68.CrossRef Huston SA, Kirking DM, Shimp LA. Use, intentions, and beliefs about hormone replacement therapy in women with and without diabetes. Marturitas. 2006;55(1):58-68.CrossRef
4.
go back to reference Sivan T, Carbon J, Ross S, Yuksel N. Determinants of hormone therapy uptake and decision-making after bilateral oophorectomy (BO): A narrative review. Maturitas. 2019;120:68-76.CrossRef Sivan T, Carbon J, Ross S, Yuksel N. Determinants of hormone therapy uptake and decision-making after bilateral oophorectomy (BO): A narrative review. Maturitas. 2019;120:68-76.CrossRef
5.
go back to reference Gurney EP, Nachtigall MJ, Nachtigall LE. The Women’s Health Initiative trial and related studies: 10 years later: a clinician’s view. J Steriod Biochem Mol Biol. 2014;142:4-11.CrossRef Gurney EP, Nachtigall MJ, Nachtigall LE. The Women’s Health Initiative trial and related studies: 10 years later: a clinician’s view. J Steriod Biochem Mol Biol. 2014;142:4-11.CrossRef
6.
go back to reference Taylor S Hugh, Kagan R, Altomare, C. et al. Knowledge of clinical trials regarding hormone therapy and likelihood of prescribing hormone therapy. Menopause. Vol 24. No 1. pp27-34. Taylor S Hugh, Kagan R, Altomare, C. et al. Knowledge of clinical trials regarding hormone therapy and likelihood of prescribing hormone therapy. Menopause. Vol 24. No 1. pp27-34.
7.
go back to reference Gass ML, Stuenkel CA, Utian WH. Use of compounded hormone therapy in the United States: report of The North American Menopause Society Survey. Menopause. 22(12):1276–1285, 2015.CrossRef Gass ML, Stuenkel CA, Utian WH. Use of compounded hormone therapy in the United States: report of The North American Menopause Society Survey. Menopause. 22(12):1276–1285, 2015.CrossRef
8.
go back to reference Thompson JJ, Ritenbaugh C, Nichter M. Why women choose compounded bioidentical hormone therapy: lessons from a qualitative study of menopausal decision-making. MC Womens Health 2017; 17(1):97 Thompson JJ, Ritenbaugh C, Nichter M. Why women choose compounded bioidentical hormone therapy: lessons from a qualitative study of menopausal decision-making. MC Womens Health 2017; 17(1):97
10.
go back to reference Sarrell PM, Niike VY, Vinante V, et al. The Mortality Toll of Estrogen Avoidence, An analysis of excess death in hysterectomized women aged 50 to 59 years. Am J Public Health. 2013; 103(9):1583-8.CrossRef Sarrell PM, Niike VY, Vinante V, et al. The Mortality Toll of Estrogen Avoidence, An analysis of excess death in hysterectomized women aged 50 to 59 years. Am J Public Health. 2013; 103(9):1583-8.CrossRef
11.
go back to reference Manson JE, Aragaki AK, Rossouw JE. Menopausal Hormone Therapy and Long-term All-Cause and Cause-Specific Mortality: The Women’s Health Initiative Randomized Trials. JAMA. 2017;318 (10):927-938.CrossRef Manson JE, Aragaki AK, Rossouw JE. Menopausal Hormone Therapy and Long-term All-Cause and Cause-Specific Mortality: The Women’s Health Initiative Randomized Trials. JAMA. 2017;318 (10):927-938.CrossRef
12.
go back to reference Manson JE, Kaunitz AM. Menopause Management – Getting Clinical Care Back on Track. NEJM. 2016;374(9):803-6.CrossRef Manson JE, Kaunitz AM. Menopause Management – Getting Clinical Care Back on Track. NEJM. 2016;374(9):803-6.CrossRef
13.
go back to reference Christianson MS, Ducie JA, Altman K, et al. Menopause Education: Needs Assessment of American Obstetrics and Gynecology Residents. Menopause. 2013;20(11): 1120-5CrossRef Christianson MS, Ducie JA, Altman K, et al. Menopause Education: Needs Assessment of American Obstetrics and Gynecology Residents. Menopause. 2013;20(11): 1120-5CrossRef
14.
go back to reference Hersh AL, Stefanick ML, Stafford RS. National Use of Postmenopausal Hormone Therapy: Annual Trends and Response to Recent Evidence. JAMA. 2004:291(1):47-53.CrossRef Hersh AL, Stefanick ML, Stafford RS. National Use of Postmenopausal Hormone Therapy: Annual Trends and Response to Recent Evidence. JAMA. 2004:291(1):47-53.CrossRef
15.
go back to reference Kling et al. Menopause Management Knowledge in Postgraduate Family Medicine, Internal Medicine, and Obstetrics and Gynecology Residents: A Cross-Sectional Survey. Mayo Clin Proc. 2019. Volume 94, Issue 2, Pages 242–253.CrossRef Kling et al. Menopause Management Knowledge in Postgraduate Family Medicine, Internal Medicine, and Obstetrics and Gynecology Residents: A Cross-Sectional Survey. Mayo Clin Proc. 2019. Volume 94, Issue 2, Pages 242–253.CrossRef
16.
go back to reference Jack G, Riach K, Bariola E. et al. Menopause in the workplace: What employers should be doing. Maturitas 2016; 85:88-95.CrossRef Jack G, Riach K, Bariola E. et al. Menopause in the workplace: What employers should be doing. Maturitas 2016; 85:88-95.CrossRef
17.
go back to reference Salpeter S.R., Walsh J.M., Ormiston T.M. et al. Meta-analysis: effect of hormone-replacement therapy on components of the metabolic syndrome in postmenopausal women. Diabetes Obes Metab 2006;8(5)538-554.CrossRef Salpeter S.R., Walsh J.M., Ormiston T.M. et al. Meta-analysis: effect of hormone-replacement therapy on components of the metabolic syndrome in postmenopausal women. Diabetes Obes Metab 2006;8(5)538-554.CrossRef
Metadata
Title
Facing Provider Misconceptions Towards the Use of Hormone Therapy in 2020
Author
Heather Hirsch, MD, MS, NCMP
Publication date
01-03-2021
Publisher
Springer International Publishing
Published in
Journal of General Internal Medicine / Issue 3/2021
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-020-05940-w

Other articles of this Issue 3/2021

Journal of General Internal Medicine 3/2021 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.