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Hot flushes, hormone therapy and alternative treatments: 30 years of experience from Sweden
Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping. Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. The NEPI foundation.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping. Linköping University, Faculty of Medicine and Health Sciences.
Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping. Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences.
2015 (English)In: Climacteric, ISSN 1369-7137, E-ISSN 1473-0804, Vol. 18, no 1, 53-62 p.Article in journal (Refereed) Published
Abstract [en]

Objectives The use of hormone therapy (HT) for hot flushes has changed dramatically over the past five decades. In this cross-sectional questionnaire study, the aim was to describe the use of HT and alternative treatments and to study the frequency of hot flushes. A further aim was to compare data from the present questionnaire with data from previous studies made in the same geographic area. Method A questionnaire was sent to a random sample of 2000 women aged 47-56 years living in Ostergotland County, Sweden. The results were compared with findings from previous studies regarding use of HT, alternative treatment and hot flushes, and the number of HT prescriptions dispensed during the corresponding time using data derived from the Swedish Prescribed Drug Registry. Results The response rate was 66%. Six percent used HT, in line with prevalence data from the Swedish Prescribed Drug Registry. Alternative treatments were used by 10%. About 70% of postmenopausal women reported flushes and almost one-third of those with flushes stated that they would be positive to HT if therapy could be shown to be harmless, a view more often stated by women with severe complaints of hot flushes (67%). Conclusion The use of HT and alternative treatments is low and many women suffer from flushes that could be treated. Women considered their knowledge of the climacteric period and treatment options as insufficient. Individualized information should be given and women with significant climacteric complaints, without contraindications, should be given the opportunity to try HT.

Place, publisher, year, edition, pages
Informa Healthcare , 2015. Vol. 18, no 1, 53-62 p.
Keyword [en]
HOT FLUSHES; HORMONE THERAPY; COMPLEMENTARY THERAPIES; CROSS-SECTIONAL STUDY; PHARMACOEPIDEMIOLOGY
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-114411DOI: 10.3109/13697137.2014.915516ISI: 000347983900008PubMedID: 24742038OAI: oai:DiVA.org:liu-114411DiVA: diva2:791998
Note

Funding Agencies|Lions Foundation; County Council of Ostergotland; Linkoping University

Available from: 2015-03-02 Created: 2015-02-20 Last updated: 2017-12-04

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Lindh-Åstrand, LottaHoffmann, MikaelHammar, MatsSpetz, Anna-Clara

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Lindh-Åstrand, LottaHoffmann, MikaelHammar, MatsSpetz, Anna-Clara
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Department of Gynaecology and Obstetrics in LinköpingDivision of Clinical SciencesFaculty of Medicine and Health SciencesDivision of Health Care AnalysisDepartment of Gynaecology and Obstetrics in Linköping
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Climacteric
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