Re: Hormone replacement therapy and the non-risk patient

From: Joanne Bulley (jbulley@cheshire.net)
Wed Oct 29 23:47:58 1997


Phillip - This is EXACTLY my thread with my patients!! You hit all the main points!

--
Joanne Bulley MD

> I firmly believe the premise that the condition of "menopause" is >an endocrinopathy - pathologic lack of estrogen; a failure of a >hormonal organ which produces a required hormone. > Historical points: the word "menopause" didn't exist in the English >language till the late 1800's - because women didn't live that long. >Only this century did the average life expectancy go beyond the >tender age of 40 (facts, look them up). Reality: the ovaries were >NOT designed to be outlived by their "host." > > So, my question. WHY is it when a patient (not client) comes to >their doctor (not provider) and is discovered to have another >endocrinopathy (diabetes), the recommendation to replace THAT >required hormone (insulin) is generally acted upon faithfully. When >the thyroid gland fails, the patient eagerly takes thyroid >replacement. > > So **WHY**, when informed that another endocrine organ >has failed (the ovary) and replacement of the vital hormone is >required, do the patients "think" about this "very personal >decision?" Rather than rational thought this sounds quite >"glandular" to me. > > My wife's on OCPs and will be on estrogen till, God willing, she's >hit by a train at age 98. > >With frustration, > >Philip > >----------------------------------------------------- >Philip Suarez, M.D. philip@icsi.net >----------------------------------------------------- > Fellow - American College Ob/Gyn >----------------------------------------------------- > Delegate - Texas Medical Association > President - Internet Connect Services, Inc. > Advisory Board Member - OBGYN.net >----------------------------------------------------- > Internet Connect Services, Inc. >----------------------------------------------------- > http://www.icsi.net >----------------------------------------------------- >-----------------------------------------------------

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