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Hormone replacement therapy usage: a 10 year experience of a solo practitioner
D R Halbert1, T Lloyd, N Rollings
1Department of Obstetrics and Gynecology, College of Medicine and University Hospital, Pennsylvania State University, The Milton S. Hershey Medical Center, Hershey 17033, USA.
Maturitas
|June 27, 1998
Summary
Physician recommendation is the primary driver for hormone replacement therapy (HRT) use in postmenopausal women. Most patients continue HRT long-term, influenced by their doctor
Area of Science:
- Gynecology
- Endocrinology
- Public Health
Background:
- Hormone replacement therapy (HRT) is a common treatment for menopausal symptoms.
- Understanding factors influencing HRT adherence is crucial for patient care.
Purpose of the Study:
- To identify key factors influencing hormone replacement therapy (HRT) usage among patients.
- To analyze patient decision-making processes regarding HRT.
Main Methods:
- A questionnaire survey was distributed to 330 active HRT patients (1985-1995).
- Data collected included health knowledge, lifestyle, medical/reproductive history, and HRT response.
- A 65% response rate (214 usable questionnaires) was achieved.
Main Results:
- 85% of patients surveyed were still using HRT.
- The average duration of HRT use was 60 months for current users and 32 months for former users.
- Physician recommendation was the most significant factor for initiating HRT.
Conclusions:
- Physician recommendation strongly influences HRT initiation and sustained use.
- The patient cohort demographics were representative of suburban postmenopausal women.
- Long-term HRT adherence is common, with physician guidance playing a pivotal role.
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