Common Answers to the Question, ‘How Has Your Prescribing of Hormone Replacement Therapy (HRT) Changed Since Women’s Health Initiative (WHI)?’
| “I don’t use HRT as preventive therapy. Still use as treatment for acute symptoms after risks/benefits explained. Try to get people off it in 2 years or less. Use as a treatment rather than prevention or global measure” |
| “I prescribe HRT and ERT significantly less, taper it more quickly, and seek certain alternatives (specifically topical estrogen and Effexor) much more.” |
| “Not confident about prescribing HRT anymore and only given for postmenopausal symptoms refractory to other treatment modalities. Confused about what emphasis to put on past research.” |
| “The results were overblown. The absolute risks were not as staggering as the relative risks reported. For me, it triggers a discussion with the patient.” |
| “I would like to know more about natural options. I would like to see more of this in residency training.” |
| “I really don’t like HRT and would not recommend it to any patients. I think things like soy and really more behavioral psychology approaches may be more helpful.” |