Preface

During the 1990s the treatment of menopausal symptoms with hormone replacement therapy (HRT) became widespread practice. Its benefits on bone metabolism were well accepted and it was suggested that HRT may have beneficial effects on the cardiovascular system and long-term cognitive function. In 2002 the Women's Health Initiative (WHI) study reported an increased risk of cardiovascular disease and breast cancer in long-term users of combined HRT. Although the design of the study was heavily criticized, this resulted in many women giving up their HRT and in many doctors refusing to prescribe. Since the WHI, the care of many menopausal women has been neglected, resulting in a devastating effect on their quality of life and possibly their longevity. In this book, the editors have assembled a group of international experts to update health professionals on all aspects of the menopause and specifically the benefits and risks of HRT and alternatives. By referring to the relevant chapters, readers will be empowered to individualize their management of women with menopause-related problems and to prescribe with confidence once again.