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HRT advice for GPs is contradictory

The advice from Professor Philip Hannaford, professor of primary care at the University of Aberdeen, in the news story headlined 'Study shows HRT has no effect on quality of life' (March 24) contradicts the advice given to doctors in the US. Professor Hannaford says GPs should still prescribe HRT to prevent bone disease.

In contrast, the JAMA editorial accompanying the prematurely terminated Women' Health Initiative randomised study clearly states: 'Do not use estrogens and progestins to prevent chronic disease,' and that other treatments should be used for osteoporosis.

The recent online advice with the latest results in the New England Journal of Medicine (to be published on May 8) is that HRT could possibly be given only to women with severe vasomotor symptoms for a few months before being gradually withdrawn.

Women should be informed of the increased risks of potentially lethal vascular diseases and cancer.

Dr Ellen Grant

Kingston-upon-Thames

Surrey

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