The Controversial History of Hormone Replacement Therapy

The history of hormone replacement therapy (HRT) started in the 1960s, with very high popularity in the 1990s. The first clinical trials on HRT and chronic postmenopausal conditions were started in the USA in the late 1990s. After the announcement of the first results of the Women’s Health...

Full description

Bibliographic Details
Main Authors: Angelo Cagnacci, Martina Venier
Format: Article
Language:English
Published: MDPI AG 2019-09-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/55/9/602
_version_ 1827844598675800064
author Angelo Cagnacci
Martina Venier
author_facet Angelo Cagnacci
Martina Venier
author_sort Angelo Cagnacci
collection DOAJ
description The history of hormone replacement therapy (HRT) started in the 1960s, with very high popularity in the 1990s. The first clinical trials on HRT and chronic postmenopausal conditions were started in the USA in the late 1990s. After the announcement of the first results of the Women’s Health Initiative (WHI) in 2002, which showed that HRT had more detrimental than beneficial effects, HRT use dropped. The negative results of the study received wide publicity, creating panic among some users and new guidance for doctors on prescribing HRT. The clear message from the media was that HRT had more risks than benefits for all women. In the following years, a reanalysis of the WHI trial was performed, and new studies showed that the use of HRT in younger women or in early postmenopausal women had a beneficial effect on the cardiovascular system, reducing coronary disease and all-cause mortality. Notwithstanding this, the public opinion on HRT has not changed yet, leading to important negative consequences for women’s health and quality of life.
first_indexed 2024-03-12T08:44:13Z
format Article
id doaj.art-bf88041383eb42b98b062e926eb09c25
institution Directory Open Access Journal
issn 1010-660X
language English
last_indexed 2024-03-12T08:44:13Z
publishDate 2019-09-01
publisher MDPI AG
record_format Article
series Medicina
spelling doaj.art-bf88041383eb42b98b062e926eb09c252023-09-02T16:31:20ZengMDPI AGMedicina1010-660X2019-09-0155960210.3390/medicina55090602medicina55090602The Controversial History of Hormone Replacement TherapyAngelo Cagnacci0Martina Venier1Obstetrics and Gynecology Unit, Azienda Sanitaria Universitaria Integrata di, 33100 Udine, ItalyObstetrics and Gynecology Unit, Azienda Sanitaria Universitaria Integrata di, 33100 Udine, ItalyThe history of hormone replacement therapy (HRT) started in the 1960s, with very high popularity in the 1990s. The first clinical trials on HRT and chronic postmenopausal conditions were started in the USA in the late 1990s. After the announcement of the first results of the Women’s Health Initiative (WHI) in 2002, which showed that HRT had more detrimental than beneficial effects, HRT use dropped. The negative results of the study received wide publicity, creating panic among some users and new guidance for doctors on prescribing HRT. The clear message from the media was that HRT had more risks than benefits for all women. In the following years, a reanalysis of the WHI trial was performed, and new studies showed that the use of HRT in younger women or in early postmenopausal women had a beneficial effect on the cardiovascular system, reducing coronary disease and all-cause mortality. Notwithstanding this, the public opinion on HRT has not changed yet, leading to important negative consequences for women’s health and quality of life.https://www.mdpi.com/1010-660X/55/9/602hormone replacement therapyosteoporosisbreast cancercardiovascular disease
spellingShingle Angelo Cagnacci
Martina Venier
The Controversial History of Hormone Replacement Therapy
Medicina
hormone replacement therapy
osteoporosis
breast cancer
cardiovascular disease
title The Controversial History of Hormone Replacement Therapy
title_full The Controversial History of Hormone Replacement Therapy
title_fullStr The Controversial History of Hormone Replacement Therapy
title_full_unstemmed The Controversial History of Hormone Replacement Therapy
title_short The Controversial History of Hormone Replacement Therapy
title_sort controversial history of hormone replacement therapy
topic hormone replacement therapy
osteoporosis
breast cancer
cardiovascular disease
url https://www.mdpi.com/1010-660X/55/9/602
work_keys_str_mv AT angelocagnacci thecontroversialhistoryofhormonereplacementtherapy
AT martinavenier thecontroversialhistoryofhormonereplacementtherapy
AT angelocagnacci controversialhistoryofhormonereplacementtherapy
AT martinavenier controversialhistoryofhormonereplacementtherapy