In recent news, two studies have challenged the long-held belief that hormone replacement therapy (HRT) is unsafe for women during menopause. The Women's Health Initiative (WHI), a major study involving over 160,000 postmenopausal women, has found that HRT can be safely used by younger women under 60 to treat symptoms such as hot flashes and night sweats without significantly increasing their risk of breast cancer or other health problems. This contradicts the findings from a WHI clinical trial in 2002 which reported an increased risk for breast cancer, heart disease, stroke, and blood clots among women taking combination hormone therapy.
Dr. JoAnn Manson, chief of preventive medicine at Brigham and Women's Hospital in Boston, emphasizes that women with bothersome menopausal symptoms should not be denied HRT based on the WHI findings. She also notes that before the WHI, studies reported lower risks of heart disease, stroke, dementia, chronic disease, and death among older women who took hormone therapy.
The new research from the WHI shows that hormone therapy does not decrease women's risk for health problems related to aging like heart disease or hip fractures. However, it is helpful in dealing with symptoms related to menopause and women have more options for treatment now, including estrogen in lower doses and delivered through the skin as a patch or gel.
Calcium and vitamin D supplements can help fill nutrient gaps among those not eating a balanced diet, but they don't reduce risk of hip fracture in aging women. Low-fat diets are now associated with a reduced risk of death from breast cancer.
These findings provide valuable insights for postmenopausal women and their healthcare providers as they make informed decisions about HRT and other aspects of menopausal health.