Controversies in Management: Hormone replacement therapy for all? Universal prescription is desirable

Abstract
Some women believe that the menopause is a natural event and that taking medication (hormones) should be avoided. These women are wrong: oestrogen deficiency is the unnatural state. In developed countries the menopause occurs at around 51 years of age, although in women who have had a hysterectomy it may occur slightly earlier. During this century life expectancy has increased from 62 to 80 years.1 Thus women now live more than one third of their lives after the menopause. …

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