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Attitudes on hormone therapy vary by specialty: internists most leery.(Gynecology)
MIAMI BEACH -- Although about 60% of physicians overall remain comfortable offering their patients hormone therapy for relief of menopausal symptoms, internists and family physicians are far more cautious about its prescribing than ob.gyns., according to a survey of U.S. physicians.
Of 1,614 practicing physicians who responded to a survey mailed to 6,000 randomly selected doctors nationwide, 40% of respondents overall said they don't encourage women to use hormone therapy (HT), or they offer it infrequently. Internists were the most reluctant, with 60% of the 410 internal medicine respondents saying they didn't encourage its use. Of the 571 family physician participants, 45% said they did not encourage HT use, Haleh Sangi, Ph.D., noted at the annual meeting of the North American Menopause Society.
Ob.gyns. remained the most comfortable with offering HT to patients; just 21% of the 633 responding ob.gyns, said they don't encourage women to use it.
Their comfort with prescribing and managing HT probably stems from their more intense training in female medicine, said Dr. Sangi of Baylor College of Medicine, Houston.
"This increased training and experience translate into more perceived adequate knowledge," she said. "This means that ob.gyns, feel more secure about their knowledge of the risks and benefits of hormones and how to manage the treatment-related side effects."
There was also a sharp difference in the opinions of ob.gyns, and other physicians over some contraindications to HT use. Only about 31% of ob.gyns, saw a family history of breast cancer as a ...
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Source: HighBeam Research, Attitudes on hormone therapy vary by specialty: internists most...