Saul R. Berg, MD
Pittsburgh, Pa
I believe that the tide will turn in regard to HT in the not-too-distant future. It takes time for the real truth to get out. In the meantime, scare headlines tend to grab attention.
I hope that, in the near future, we will be able to genetically identify women who should not use HT. Until then, I discuss the risks and benefits of HT with my patients and honor their decision. Transdermal estrogen and bimonthly or quarterly progestin—I typically use Prometrium—are my preference.
At present, there don’t seem to be any outstanding alternatives to hormonal therapy.
Dr. Berg reports no relevant financial relationships.
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