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Life After WHI Guiding Women Through the Menopause Transition

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WB0209  Life After the Women's Health Initiative (WHI) Guiding  Women Through

                 The Menopause Transition

 

Reading Materials:

NCC Monograph, Life After the Women's Health Initiative (WHI) Guiding

Women Through The Menopause Transition Carroll, Nancy, et. al.

Volume 3, No 1, 2008, Page 1-13

 

Objectives

 

1.         Explain the purported risks and benefits of hormone therapy prior to the WHI

            Study results were released

2.         Compare and contrast the WHI study (both arms) and HERS and WHIMS study results

3.         Identify the risks and benefits of hormone therapy post the WHI study

4.         Discuss the criticisms of the WHI study

5.         Review the current recommendations for management of menopausal symptoms

6.         Summarize current knowledge learned from WHI study and how it can be applied in

            clinical practice

 

Content Outline

 

1.         Background of Clinical Management of Menopausal Symptom Pre WHI

2.         Study results and its interpretation for clinical management

            2.1       WHI

            2.2       HERS

            2.3       WHIMS

3.         Risks and Benefits Hormone Therapy After WHI (Both arms)

            3.1       Coronary heart disease

            3.2       Breast cancer

            3.3       Stroke

            3.4       Pulmonary Embolism

            3.5       Colon Cancer

            3.6       Endometrial cancer

            3.7       Hip fracture

4.         Criticisms of WHI

            4.1       Biological differences

            4.2       Age

            4.3       Timing of hormone therapy

5.         Current Management Recommendations

            5.1       Hot flashes

            5.2       Vaginal symptoms

            5.3       When to discontinue hormones

6.         Assessment of Current Knowledge Based WHI findings

            6.1       Age

            6.2       Breast cancer

            6.3       Coronary heart disease

            6.4       Stroke

            6.5       Thromboembolism

            6.6       Cognition and dementia