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Topic: HRT and dementia
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skdadl
rabble-rouser
Babbler # 478
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posted 28 May 2003 01:32 PM
Here is last summer's discussion about women's health concerns over HRT.lagatta, one of the reasons I am so sensitive to this topic is that I spent a good decade listening to heavy propaganda -- from doctors and friends both -- in favour of HRT, as I suspect sophrosyne's mum did as well. Sure, we can think for ourselves. But I tell you, it can be hard to stand up to the kind of concerted campaign that older women have faced on this turf. For years, all I had to hang on to in my resistance to HRT was a vague feeling that menopause was not a disease and therefore shouldn't be hyped as such. I was amazed for years at the intense emotional reaction I got from family and friends for saying that out loud. Some of my relatives still won't discuss HRT with me -- and I have a feeling that this study is just going to make that worse. Look at the reaction that the preliminary study got even from doctors! It is really hard for some people to give up something they believed in so hard -- which, of course, makes me wonder why so many believed so hard. What were they believing in? And why did it matter so much?
From: gone | Registered: May 2001
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'lance
rabble-rouser
Babbler # 1064
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posted 28 May 2003 01:47 PM
My mother's doctor suggested HRT to her a couple of years ago. Relating this, my mother -- a retired nurse, who knows from doctors and their enthusiasms -- got roughly the same kind of you've-got-to-be-kidding expression she might have had the quack suggested, say, leeches or blood-letting.Quack's view was, well, it'll help bone density. Prevent osteoporosis, don't you know. The old gril had a couple of tests done and found out that her bone density, already nothing to worry about, actually increased measurably during the year or so the quack was occasionally suggesting this. Curiously, the quack is female, and a generation or so younger than the old gril. I don't know what if anything any of this signifies, except maybe that some surprising people can get caught up in those weird beliefs tenuously held by an influential group. [ 28 May 2003: Message edited by: 'lance ]
From: that enchanted place on the top of the Forest | Registered: Jul 2001
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skdadl
rabble-rouser
Babbler # 478
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posted 28 May 2003 02:20 PM
I will confess one thing: my mum, who is eighty-nine and in many ways sharper than I, has been taking Premarin for I don't know how many years, and yet -- well, she is eighty-nine!Mind you, it did nothing for her bones, which I believe was the point. To me, discovering at, say, age eighty that your joints are stiff and your bones more fragile than they used to be is just, y'know, life. To others, it seems something to be fought even harder with a medication that is CLEARLY NOT WORKING! And then think of all those horses!
From: gone | Registered: May 2001
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lagatta
rabble-rouser
Babbler # 2534
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posted 28 May 2003 02:47 PM
The BBC also has an article on the study, which deals only with a specific type of HRT. Certainly agree that conventional medicine tends to overmedicate for both physical and mental/emotional health complaints. But a friend who is a doctor (in a speciality other than gyno) is VERY leery of scare stories in the press. They are often simplistic. Just thinking, skdadl. You put this topic in feminism, because it pertains to women's health, I surmise? I would have posted such health issues in body and soul. By the way, there is no systematic equivalent of HRT for men of the equivalent age, but an uncle of mine was prescribed testosterone for a minor health complaint. This was the probable cause of his developing prostate cancer, according to his physician. My uncle is free of the cancer now, but the therapy left him with other rather serious health problems.
From: Se non ora, quando? | Registered: Apr 2002
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lagatta
rabble-rouser
Babbler # 2534
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posted 28 May 2003 03:12 PM
Bully for them.Where do they find guys? There was a huge spate of early mortality - most of it smoking related, among guy friends just a bit older than me in recent years. Of course, some could be lesbians, but Zoot's relative seems het. I was also referring to certain (ahem) medical phenomena that affect both men and women. Need I be more explicit?
From: Se non ora, quando? | Registered: Apr 2002
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muggetywumpus
rabble-rouser
Babbler # 3952
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posted 29 May 2003 02:52 PM
This article follows revelationa from a few months ago that HRT does not protect against postmenopausal increased risk of heart disease and stroke either, quite the contrary: quote: The estrogen and progestin component of the Women's Health Initiative, which included over 16,000 women, compared two groups of healthy women (no prior history of heart disease), one using estrogen with progestin and one taking a placebo. In this study, combined estrogen and progestin was associated with a 22 percent increased risk of cardiovascular disease. The incidence of heart attacks increased 29 percent among women taking estrogen and progestin, as compared to the group of women on placebo (2). These effects became apparent after an average of 5.2 years of follow-up.
http://www.cancer.gov/newscenter/estrogenplus Hot flashes are the pits, especially if you're working outside the home. And of course there are other things that happen during menopause, even though it's not an illness. So far Black Cohosh seems to be one of the herbals that are somewhat effective and don't have any horrendous side effects. http://healthlink.mcw.edu/article/989697316.html
From: Coquitlam | Registered: Mar 2003
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Rebecca West
rabble-rouser
Babbler # 1873
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posted 29 May 2003 04:41 PM
Friends of mine have had considerable success with black cohosh, and they didn't have to take it for years and years. I imagine the results vary from woman to woman, and I do understand that for some women the effects of menopause are so severe as to be almost debilitating. Perhaps where it is an immediate quality of life issue, and HRT is the only thing that will provide relief, it's worth the risk at the lowest dose possible for the shortest period of time possible.As for sexual desire and aging, I've noticed changes, certainly, as I've grown older (I'm in my 40s now). Nowadays, my desires are more cyclical, with a definite ebb and flow at different times of the month. That doesn't mean that at low ebb I don't want any sexual contact - it just takes a little longer to get things going, or I may not orgasm as quickly, or at all for that matter. When I was younger, I was good to go all the time and it all seemed so effortless. That's a breeding thing, I imagine. But I have to say that on the whole, sex is far more enjoyable now than it was when I was in my 20s and early 30s. It's just different.
From: London , Ontario - homogeneous maximus | Registered: Nov 2001
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skdadl
rabble-rouser
Babbler # 478
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posted 29 May 2003 04:56 PM
What I have never understood about any kind of therapy for the effects of menopause (and I also take them very seriously: I know that some women have to have relief) is how you come off the therapy. What happens when you stop whichever medication it is? Won't the symptoms simply show up then, delayed?That's an honest question. I've always wondered. I ended up not having to argue with anyone about HRT because, right when I hit menopause, I had a medical situation that ruled it out. I probably was experiencing some mild effects, like night sweats, especially -- ok, sweats, generally -- but at the time, I was so worried about other things that my sweating, which was minor, really seemed minor.
From: gone | Registered: May 2001
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lagatta
rabble-rouser
Babbler # 2534
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posted 29 May 2003 06:09 PM
I have an aunt, over 80, who is still taking the stuff - not just a low dosage, but enough to keep her having her period. But then this aunt is, as I've said, a plastic surgery junkie. And no, she doesn't look 35. Perhaps she looks a bit younger than her age, but that is because she is wealthy and can afford good food etc - and a toyboy who is now pushing 70 . Indeed, many serious medical conditions USUALLY make menopausal complaints fade into the background. But I do have friends who are really debilitated by them, and the herbal stuff doesn't work. I still think a sex life, of sorts, is essential to being fully human, unless one has deliberately waived it for religious or ethical reasons. Don't mean meaningless recreational sex, unless that is what you want. Not the slightest bit interested. But I went for years without really touching another human being, and felt like a dried -out carapace.
From: Se non ora, quando? | Registered: Apr 2002
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Timebandit
rabble-rouser
Babbler # 1448
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posted 29 May 2003 06:33 PM
Coincidentally, I came across this article today...http://www.salon.com/mwt/feature/2003/05/29/juska/index.html If you're not a Salon subscriber, you have to look at an ad to get their "day pass" so you can read the whole article. Sorry for that, but the article is right in line with the discussion. [ 29 May 2003: Message edited by: Zoot Capri ]
From: Urban prairie. | Registered: Sep 2001
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skdadl
rabble-rouser
Babbler # 478
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posted 30 May 2003 11:04 AM
I thought that article was great fun. And I think Juska sounds wonderful. But lagatta, she says it isn't "casual" sex to her at all, and obviously the three guys she's now settled on mean something to her. I think I also would have had trouble setting up the project the way she did -- but where she is now sounds terrific. Maybe not for me -- but she sounds terrific. This I think I understand: quote: Juska turns around and looks them both up and down, before she remembers my question. "Oh wait, I'm sorry, about soul mates?" She crosses, then recrosses her legs, smiles. "Look, I'm in a much different place than you are at your age. Maybe it's an evolutionary thing. I've done marriage and kids. I'm not into nesting. I don't have much time left. And I have these lovely interactions with these men -- maybe it's because for me, and for other people my age, there's a certain poignancy and sweetness that comes from being so close to the end."
I dunno. I think she puts that well. She is obviously an unusual person -- what struck me about the article from early on is that it seems so literary itself, and it treats her as more of a literary figure than the subjects of news articles are usually treated. I mean, we watch her m.o. She has the eye and the spirit of a novelist -- very sharp, witty, perhaps too detached for some people, but how else does a writer home in on deep truths? Her dialogue throughout sparkles. She's not me, but good for her.
From: gone | Registered: May 2001
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