SlideShare a Scribd company logo
1 of 38
  HORMONE REPLACEMENT THERAPY (HRT)   Evidence-based Guidelines Dr Mahdy El- Mazzahy  Damietta general Hospital 7 th  International Annual  Congress  “Alexandria”  12- 2002
Introduction ,[object Object],[object Object],[object Object]
HRT and Menopausal Symptoms
VASOMOTOR HOT FLUSHES includes night sweats ,[object Object],[object Object],[object Object],N.Z Guidelines May 2001 N.Z Guidelines May 2001
VASOMOTOR HOT FLUSHES (includes night sweats) ,[object Object],[object Object],[object Object],N.Z Guidelines May 2001
Vaginal atrophy ,[object Object],[object Object],[object Object],[object Object],N.Z Guidelines May 2001
PSYCHOLOGICAL SYMPTOMS ,[object Object]
PSYCHOLOGICAL SYMPTOMS ,[object Object],[object Object],[object Object],N.Z Guidelines May 2001
PSYCHOLOGICAL   SYMPTOMS ,[object Object],[object Object],[object Object],N.Z Guidelines May 2001
PSYCHOLOGICAL SYMPTOMS ,[object Object],[object Object],[object Object],[object Object]
HRT and risk of cancer
[object Object],[object Object],RISK OF BREAST CANCER (NICHD) study November 29,2002. (WHI) July 2002
RISK OF BREAST CANCER ,[object Object],.   (WHI) July 2002
RISK OF ENDOMETRIAL CANCER ,[object Object],[object Object],[object Object]
RISK OF ENDOMETRIAL CANCER ,[object Object],[object Object],N.Z Guidelines May 2001
RISK OF OVARIAN CANCER ,[object Object],[object Object],N.Z Guidelines May 2001
RISK OF OVARIAN CANCER ,[object Object],J uly 2002 JAMA
HRT and Osteoporosis The silent killer
HRT and Osteoporosis ,[object Object],[object Object],N.Z Guidelines May 2001
HRT and Osteoporosis ,[object Object],[object Object]
HRT and Osteoporosis ,[object Object],[object Object],N.Z Guidelines May 2001
ACOG issues New Recommendations On SERMS ,[object Object],[object Object],[object Object],ACOG. October,2002
[object Object]
HRT and cardiac risk ,[object Object]
HRT and cardiac risk ,[object Object],[object Object]
HRT and cardiac risk ,[object Object],[object Object],[object Object]
HRT and cardiac risk ,[object Object],[object Object]
the Women's Health Initiative (WHI) study ,[object Object],[object Object],J uly 2002 JAMA
The Women's Health Initiative  (WHI)  Study ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Women's Health Initiative  (WHI)  Study J uly 2002 JAMA
[object Object],[object Object],[object Object],[object Object],The Women's Health Initiative  (WHI)  Study J uly 2002 JAMA
New Study of the National Institute of Child Health and Human Development (NICHD)  November 29, 2002   ,[object Object],ACOG. November 29,2002
New Study of the National Institute of Child Health and Human Development (NICHD) ,[object Object],[object Object],[object Object],[object Object],ACOG. November 29,2002
Conclusion ,[object Object],[object Object],[object Object],[object Object],ACOG. August,2002
Conclusion  (cont.) ,[object Object],[object Object]
Conclusion  (cont.) ,[object Object],[object Object],ACOG. July, 2002
Conclusion  (cont.) ,[object Object],ACOG. August,2002
 

More Related Content

What's hot

HORMONE REPLACEMENT THERAPY (HRT)
HORMONE REPLACEMENT THERAPY (HRT)HORMONE REPLACEMENT THERAPY (HRT)
HORMONE REPLACEMENT THERAPY (HRT)Dr.SHAHID Raza
 
Hormone replacement therapy dr. sharda jain
Hormone replacement therapy dr. sharda jainHormone replacement therapy dr. sharda jain
Hormone replacement therapy dr. sharda jainLifecare Centre
 
Hormonal Replacement Therapy
Hormonal Replacement TherapyHormonal Replacement Therapy
Hormonal Replacement TherapyDeepika Rana
 
Infertility management.
Infertility management.Infertility management.
Infertility management.Yogesh Patel
 
Uterine fibroids ( Myomas ) and infertility
Uterine fibroids  ( Myomas ) and infertilityUterine fibroids  ( Myomas ) and infertility
Uterine fibroids ( Myomas ) and infertilityMarwan Alhalabi
 
Female infertility (2)
Female infertility (2)Female infertility (2)
Female infertility (2)obgymgmcri
 
Polycystic Ovarian Syndrome (PCOS) by Dr. Aryan
Polycystic Ovarian Syndrome (PCOS) by Dr. AryanPolycystic Ovarian Syndrome (PCOS) by Dr. Aryan
Polycystic Ovarian Syndrome (PCOS) by Dr. AryanDr. Aryan (Anish Dhakal)
 
Menstrual irregularities
Menstrual irregularitiesMenstrual irregularities
Menstrual irregularitiesSandhya Kumari
 
Step by Step Guide to Menopause Hormone Therapy by Dr. laxmi Shrikhande
Step by Step Guide to Menopause Hormone Therapy by Dr. laxmi ShrikhandeStep by Step Guide to Menopause Hormone Therapy by Dr. laxmi Shrikhande
Step by Step Guide to Menopause Hormone Therapy by Dr. laxmi ShrikhandeDr.Laxmi Agrawal Shrikhande
 
Management of endometriosis
Management of endometriosisManagement of endometriosis
Management of endometriosisobsgynhsnz
 
step by step guide to menopause hormone therapy (MHT)
step by step guide to menopause hormone therapy (MHT)step by step guide to menopause hormone therapy (MHT)
step by step guide to menopause hormone therapy (MHT)Dr.Laxmi Agrawal Shrikhande
 

What's hot (20)

HRT
HRTHRT
HRT
 
HORMONE REPLACEMENT THERAPY (HRT)
HORMONE REPLACEMENT THERAPY (HRT)HORMONE REPLACEMENT THERAPY (HRT)
HORMONE REPLACEMENT THERAPY (HRT)
 
Hormone replacement therapy dr. sharda jain
Hormone replacement therapy dr. sharda jainHormone replacement therapy dr. sharda jain
Hormone replacement therapy dr. sharda jain
 
Hormonal Replacement Therapy
Hormonal Replacement TherapyHormonal Replacement Therapy
Hormonal Replacement Therapy
 
PCOS management
PCOS  managementPCOS  management
PCOS management
 
Pre conception care
Pre conception carePre conception care
Pre conception care
 
Infertility management.
Infertility management.Infertility management.
Infertility management.
 
Menopause
Menopause Menopause
Menopause
 
Uterine fibroids ( Myomas ) and infertility
Uterine fibroids  ( Myomas ) and infertilityUterine fibroids  ( Myomas ) and infertility
Uterine fibroids ( Myomas ) and infertility
 
Menopause
Menopause Menopause
Menopause
 
Menstrual disorders in adolescents
Menstrual disorders in adolescentsMenstrual disorders in adolescents
Menstrual disorders in adolescents
 
Menopause
MenopauseMenopause
Menopause
 
Female infertility (2)
Female infertility (2)Female infertility (2)
Female infertility (2)
 
Polycystic Ovarian Syndrome (PCOS) by Dr. Aryan
Polycystic Ovarian Syndrome (PCOS) by Dr. AryanPolycystic Ovarian Syndrome (PCOS) by Dr. Aryan
Polycystic Ovarian Syndrome (PCOS) by Dr. Aryan
 
Menopause
MenopauseMenopause
Menopause
 
Menopausal Hormone Replacement Therapy by Dr Shahjada Selim
Menopausal Hormone Replacement Therapy by Dr Shahjada SelimMenopausal Hormone Replacement Therapy by Dr Shahjada Selim
Menopausal Hormone Replacement Therapy by Dr Shahjada Selim
 
Menstrual irregularities
Menstrual irregularitiesMenstrual irregularities
Menstrual irregularities
 
Step by Step Guide to Menopause Hormone Therapy by Dr. laxmi Shrikhande
Step by Step Guide to Menopause Hormone Therapy by Dr. laxmi ShrikhandeStep by Step Guide to Menopause Hormone Therapy by Dr. laxmi Shrikhande
Step by Step Guide to Menopause Hormone Therapy by Dr. laxmi Shrikhande
 
Management of endometriosis
Management of endometriosisManagement of endometriosis
Management of endometriosis
 
step by step guide to menopause hormone therapy (MHT)
step by step guide to menopause hormone therapy (MHT)step by step guide to menopause hormone therapy (MHT)
step by step guide to menopause hormone therapy (MHT)
 

Similar to HORMONE REPLACEMENT THERAPY

Menopause post whi
Menopause post whiMenopause post whi
Menopause post whilimgengyan
 
Menopause post WHI
Menopause post WHIMenopause post WHI
Menopause post WHIlimgengyan
 
Menopause post whi
Menopause post whiMenopause post whi
Menopause post whilimgengyan
 
Menopause post whi
Menopause post whiMenopause post whi
Menopause post whilimgengyan
 
Menopausal Harmone Therapy & Indian Gynaecologists Dr Sharda Jain
Menopausal Harmone Therapy &  Indian Gynaecologists Dr Sharda Jain Menopausal Harmone Therapy &  Indian Gynaecologists Dr Sharda Jain
Menopausal Harmone Therapy & Indian Gynaecologists Dr Sharda Jain Lifecare Centre
 
Hormone Replacement Therapy and Breast Cancer
Hormone Replacement Therapy and Breast CancerHormone Replacement Therapy and Breast Cancer
Hormone Replacement Therapy and Breast CancerKervindran Mohanasundaram
 
Evolução da Terapia Hormonal na Menopausa
Evolução da Terapia Hormonal na MenopausaEvolução da Terapia Hormonal na Menopausa
Evolução da Terapia Hormonal na MenopausaDolores Pardini
 
Hrt journal club
Hrt journal clubHrt journal club
Hrt journal clubNick Harvey
 
Results from whi and hers ii
Results from whi and hers iiResults from whi and hers ii
Results from whi and hers iifalcaoebarros
 
Hrtandgenitalcancer
HrtandgenitalcancerHrtandgenitalcancer
Hrtandgenitalcancerjhardesty
 
Is Hormone Replacement Therapy Safe?
Is Hormone Replacement Therapy Safe?Is Hormone Replacement Therapy Safe?
Is Hormone Replacement Therapy Safe?yellow_sunfire102
 
Life after menopause
Life after menopauseLife after menopause
Life after menopauseEddie Lim
 
20120630 internet medical journal: medical pearls
20120630 internet medical journal: medical pearls20120630 internet medical journal: medical pearls
20120630 internet medical journal: medical pearlsInternet Medical Journal
 
Hormone replacement therapy
Hormone replacement therapyHormone replacement therapy
Hormone replacement therapySandeepKumarB10
 
Is hrt a replacement medication
Is hrt a replacement medicationIs hrt a replacement medication
Is hrt a replacement medicationfalcaoebarros
 
Hrt and genitalcancer
Hrt and genitalcancerHrt and genitalcancer
Hrt and genitalcancerraj kumar
 
Hormone Replacement Therapy
Hormone Replacement TherapyHormone Replacement Therapy
Hormone Replacement TherapyRishikaMaji
 
Holly Thacker, Update on: Menopause, Hormone Therapy, Sex, Politics, and the ...
Holly Thacker, Update on: Menopause, Hormone Therapy, Sex, Politics, and the ...Holly Thacker, Update on: Menopause, Hormone Therapy, Sex, Politics, and the ...
Holly Thacker, Update on: Menopause, Hormone Therapy, Sex, Politics, and the ...Cleveland HeartLab, Inc.
 

Similar to HORMONE REPLACEMENT THERAPY (20)

Menopause post whi
Menopause post whiMenopause post whi
Menopause post whi
 
Menopause post WHI
Menopause post WHIMenopause post WHI
Menopause post WHI
 
Menopause post whi
Menopause post whiMenopause post whi
Menopause post whi
 
Menopause post whi
Menopause post whiMenopause post whi
Menopause post whi
 
Menopausal Harmone Therapy & Indian Gynaecologists Dr Sharda Jain
Menopausal Harmone Therapy &  Indian Gynaecologists Dr Sharda Jain Menopausal Harmone Therapy &  Indian Gynaecologists Dr Sharda Jain
Menopausal Harmone Therapy & Indian Gynaecologists Dr Sharda Jain
 
Hormone Replacement Therapy and Breast Cancer
Hormone Replacement Therapy and Breast CancerHormone Replacement Therapy and Breast Cancer
Hormone Replacement Therapy and Breast Cancer
 
Evolução da Terapia Hormonal na Menopausa
Evolução da Terapia Hormonal na MenopausaEvolução da Terapia Hormonal na Menopausa
Evolução da Terapia Hormonal na Menopausa
 
Hormone replacement therapy
Hormone replacement therapyHormone replacement therapy
Hormone replacement therapy
 
Hrt journal club
Hrt journal clubHrt journal club
Hrt journal club
 
menopause hrt.pdf
menopause hrt.pdfmenopause hrt.pdf
menopause hrt.pdf
 
Results from whi and hers ii
Results from whi and hers iiResults from whi and hers ii
Results from whi and hers ii
 
Hrtandgenitalcancer
HrtandgenitalcancerHrtandgenitalcancer
Hrtandgenitalcancer
 
Is Hormone Replacement Therapy Safe?
Is Hormone Replacement Therapy Safe?Is Hormone Replacement Therapy Safe?
Is Hormone Replacement Therapy Safe?
 
Life after menopause
Life after menopauseLife after menopause
Life after menopause
 
20120630 internet medical journal: medical pearls
20120630 internet medical journal: medical pearls20120630 internet medical journal: medical pearls
20120630 internet medical journal: medical pearls
 
Hormone replacement therapy
Hormone replacement therapyHormone replacement therapy
Hormone replacement therapy
 
Is hrt a replacement medication
Is hrt a replacement medicationIs hrt a replacement medication
Is hrt a replacement medication
 
Hrt and genitalcancer
Hrt and genitalcancerHrt and genitalcancer
Hrt and genitalcancer
 
Hormone Replacement Therapy
Hormone Replacement TherapyHormone Replacement Therapy
Hormone Replacement Therapy
 
Holly Thacker, Update on: Menopause, Hormone Therapy, Sex, Politics, and the ...
Holly Thacker, Update on: Menopause, Hormone Therapy, Sex, Politics, and the ...Holly Thacker, Update on: Menopause, Hormone Therapy, Sex, Politics, and the ...
Holly Thacker, Update on: Menopause, Hormone Therapy, Sex, Politics, and the ...
 

More from Karl Daniel, M.D. (20)

menstrual cycle
menstrual cyclemenstrual cycle
menstrual cycle
 
vulvo vaginal infection
vulvo vaginal infectionvulvo vaginal infection
vulvo vaginal infection
 
vesicular molle 2
vesicular molle 2vesicular molle 2
vesicular molle 2
 
vesicular molle 1
vesicular molle 1vesicular molle 1
vesicular molle 1
 
Sexually Transmitted Infections
Sexually Transmitted InfectionsSexually Transmitted Infections
Sexually Transmitted Infections
 
Screening for Female Genital Tract Malignancy
Screening for Female Genital Tract MalignancyScreening for Female Genital Tract Malignancy
Screening for Female Genital Tract Malignancy
 
vaginal prolapse
vaginal prolapsevaginal prolapse
vaginal prolapse
 
prevention Cervical cancer
prevention Cervical cancerprevention Cervical cancer
prevention Cervical cancer
 
ovarian tumor
ovarian tumorovarian tumor
ovarian tumor
 
Contemporary Use of the Pessary
Contemporary Use of the PessaryContemporary Use of the Pessary
Contemporary Use of the Pessary
 
management of cancer of cervix
management of cancer of cervixmanagement of cancer of cervix
management of cancer of cervix
 
leiomyomas
leiomyomasleiomyomas
leiomyomas
 
fibroids
fibroidsfibroids
fibroids
 
endometriosis
endometriosisendometriosis
endometriosis
 
DnC
DnCDnC
DnC
 
carcinoma vulva
carcinoma vulvacarcinoma vulva
carcinoma vulva
 
amenorrhea
amenorrheaamenorrhea
amenorrhea
 
adenomyosis
adenomyosisadenomyosis
adenomyosis
 
Evidence Based Diagnosis
Evidence Based DiagnosisEvidence Based Diagnosis
Evidence Based Diagnosis
 
menopause
menopausemenopause
menopause
 

HORMONE REPLACEMENT THERAPY

  • 1. HORMONE REPLACEMENT THERAPY (HRT) Evidence-based Guidelines Dr Mahdy El- Mazzahy Damietta general Hospital 7 th International Annual Congress “Alexandria” 12- 2002
  • 2.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. HRT and risk of cancer
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. HRT and Osteoporosis The silent killer
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.