4 Topic Commentaries

ACP puts hormone therapy first for menopause symptoms

• 

  Juliana Kling, MD

  Women’s Health; Internal Medicine

  •

  Mayo Clinic

  This new medication shouldn't replace hormone therapy. Hormone therapy remains the most effective treatment for hot flashes and night sweats. For many women, the benefits will outweigh the risk if they’re under 60 or within 10 years from their last menstrual cycle. I want to ensure that women get the appropriate care and don’t think this is a substitute for perhaps an evidence-based and safe treatment, like hormone therapy, for them.

  Source
• 

  Tina Zhang, MD

  Internal Medicine; Women’s Health/Menopause Medicine

  •

  Johns Hopkins University School of Medicine

  The most effective treatment for management of menopausal symptoms, in particular hot flashes, night sweats, vaginal symptoms.

  Source
• 

  JoAnn E. Manson, MD, DrPH

  Preventive Medicine; Women’s Health

  •

  Brigham and Women’s Hospital

  It’s a matter of identifying the appropriate candidates who will have a favorable risk-benefit profile and distinguish them from those who won’t. If you’re going to say hormone therapy is good for all women or it’s bad for all women, either conclusion is off base and will end up harming all women, by either giving them a treatment they don’t benefit from or denying treatment to women who would benefit.

  Source
• 

  Jacques Rossouw, MD

  Epidemiology; Public Health

  •

  National Heart, Lung, and Blood Institute, National Institutes of Health

  By and large, these women are not currently receiving hormone therapy, and from our results, it’s justifiable that they should be.

  Source