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. (...)
Mots-clés Pascal : Hystérectomie, Ménopause, Hormone stéroïde sexuelle, Oestrogène, Chimiothérapie, Traitement substitutif, Homme, Femelle, Epidémiologie, Maryland, Etats Unis, Amérique du Nord, Amérique, Chirurgie
Mots-clés Pascal anglais : Hysterectomy, Menopause, Sex steroid hormone, Estrogen, Chemotherapy, Replacement therapy, Human, Female, Epidemiology, Maryland, United States, North America, America, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0008590
Code Inist : 002B02O. Création : 17/04/1998.