| Titre : | Hormone replacement and menopausal symptoms following hysterectomy. (1997) |
| Auteurs : | P. LANGENBERG ; K.H. KJERULFF ; P.D. STOLLEY ; Department of Epidemiology and Preventive Medicine. University of Maryland School of Medicine. Baltimore MD. USA |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 146, n° 10, 1997) |
| Pagination : | 870-880 |
| Langues: | Anglais |
| Mots-clés : | Ménopause ; Homme ; Femme ; Epidémiologie ; Etats Unis ; Amérique du Nord ; Amérique ; Chirurgie |
| Résumé : | [BDSP. Notice produite par INIST XR0x0cTH. Diffusion soumise à autorisation]. Hormone replacement therapy (HRT) is recommended for most women who experience surgical menopause following hysterectomy/oophorectomy for noncancerous conditions ; it is also commonly prescribed for postmenopausal women. Beginning in 1992,1,299 women undergoing hysterectomy in 28 hospitals throughout Maryland were interviewed prior to hysterectomy and were subsequently followed over a 2-year period. Interviews included questions about HRT use and symptoms associated with menopause. The majority of the women (66 percent) were white, 55 percent had a high school education or better, 49 percent were obese (body mass index 27.3), and 11 percent were postmenopausal. Over 40 percent of premenopausal women underwent bilateral oophorectomy. At 3 months posthysterectomy, 89 percent of these women were on HRT ; this figure dropped to 85 percent at 24 months. Among postmenopausal women, 50 percent were on HRT both at 3 months and at 24 months posthysterectomy. Among premenopausal women who had unilateral oophorectomy, 21 percent were on HRT at 3 months, increasing to 35 percent at 24 months. Among premenopausal women who had no ovaries removed, 5 percent were on HRT at 3 months, increasing to 13 percent at 24 months. There were few within-group differences between HRT users and nonusers, except that among postmenopausal women, HRT users were younger and more likely to be white and had higher income and educational levels. (...) |
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