Higuchi Tsuyoshi, Mizunuma Hideki
Hirosaki University School of Medicine, Department of Obstetrics and Gynecology.
Clin Calcium. 2008 Aug;18(8):1141-6.
Results of WHI hormone trial have given the strong restriction on HRT. But recently the conception of adverse events of HRT is getting changed. Generally, it is considered that HRT under 60 years aged or early menopausal women make many benefits without elevation of risk of adverse events and selection of dose level or way to apply can also vary the risk of disease. Because any kind of estrogens has exact effects suppressing bone resorption and fracture, we can use them for osteopenia or osteoporotic women in climacteric state cost-effectively by taking age, dose level and application methods into consideration.
妇女健康倡议(WHI)激素试验的结果对激素替代疗法(HRT)进行了严格限制。但最近,人们对HRT不良事件的概念正在发生变化。一般认为,60岁以下或绝经早期的女性进行HRT有诸多益处,且不会增加不良事件风险,剂量水平或应用方式的选择也会改变疾病风险。由于任何一种雌激素都有确切的抑制骨吸收和骨折的作用,我们可以通过考虑年龄、剂量水平和应用方法,以成本效益高的方式将其用于处于更年期的骨质减少或骨质疏松女性。