Nilsen S T, Fredriksen T, Iversen O E, Moen M H
Kvinneklinikken Sentralsjukehuset i Rogaland, Stavanger.
Tidsskr Nor Laegeforen. 1998 Aug 20;118(19):2940-3.
A questionnaire was sent to all 475 members of the Norwegian Gynaecological Society. It was based on a similar study previously performed in Denmark and Sweden. 85% of the members returned the questionnaire. 382 (80%) had answered the questions; 153 (40%) women, 228 (60%) men, and one case where the sex was not stated. The mean age was 48 years (SD 10). The male gynaecologists had a more liberal attitude towards hormone replacement therapy than their female counterparts, 43% of them recommending oestrogen for all women, compared to 31% of the female gynaecologists. The younger doctors were more restrictive in their recommendations but attitudes became more liberal the older the doctors were. Among gynaecologists over 55 years, 49% of males and 50% of females recommended oestrogen for all women. The final decision as to whether or not to take hormone replacement therapy was most often made by the patient herself (61%). The majority of both female (86%) and male (75%) gynaecologists considered risk factors for heart disease to be an indication for oestrogen. In perimenopausal women, 356 (93%) preferred oral cyclical oestrogen combined with progestagen, whereas in postmenopausal women 333 (87%) preferred to take oral oestrogen combined with progestagen continuously.
一份调查问卷被发送给了挪威妇科协会的所有475名成员。该问卷基于此前在丹麦和瑞典进行的一项类似研究。85%的成员返还了问卷。382人（80%）回答了问题；其中153名女性（40%），228名男性（60%），还有一例未说明性别。平均年龄为48岁（标准差10）。男性妇科医生对激素替代疗法的态度比女性同行更为宽松，43%的男性建议对所有女性使用雌激素，而女性妇科医生的这一比例为31%。年轻医生在建议上更为保守，但医生年龄越大，态度越宽松。在55岁以上的妇科医生中，49%的男性和50%的女性建议对所有女性使用雌激素。是否接受激素替代疗法的最终决定大多由患者本人做出（61%）。大多数女性（86%）和男性（75%）妇科医生认为心脏病风险因素是使用雌激素的一个指征。在围绝经期女性中，356人（93%）更喜欢口服周期性雌激素加孕激素，而在绝经后女性中，333人（87%）更喜欢持续口服雌激素加孕激素。
