[Practical questions about organizing a gynecologic outpatient clinic for climacteric-osteoporosis patients]

The author established a climacteric-osteoporosis outpatient clinic at his department of obstetrics and gynecology among the first ones in Hungary. On the basis obtained with the care of 3000 patients the author outlines the most important duties connected with such a clinic. In his opinion it is of special importance to screen women with several risk factors for postmenopausal osteoporosis,--supply these women at risk with hormone replacement therapy (HRT) and to care them,--include diseases which contraindicate HRT before starting it, --work out rational cooperation between the interested specialties and to delimit the duties,--make the rules of direction of patients clear,--supply osteoporotic women treated by rheumatologists with HRT, --use uniformed diagnostic and therapeutical protocol, --inform the women population and to prepare the specialists and family doctors and to take part in their further education. According to experiences of the author HRT is especially effective to stop climacteric complaints and to prevent and treat osteoporosis.