Continuous combined oral oestradiol and norethisterone acetate in post-menopausal women: effect on vasomotor symptoms, plasma lipids and lipoproteins

Continuous combined oral oestradiol and norethisterone acetate in post-menopausal women: effect on vasomotor symptoms, plasma lipids and lipoproteins

103 32 CONTINUOUS COMBINED ORAL OESTRADIOL AND POST-MENOPAUSALWOMEN: EFFECT ON NORETHISTERONE ACETATE IN VASOMOTOR SYMPTOMS, PLASMA LIPIDS AND...

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103

32

CONTINUOUS

COMBINED

ORAL

OESTRADIOL AND

POST-MENOPAUSALWOMEN: EFFECT ON

NORETHISTERONE ACETATE IN

VASOMOTOR SYMPTOMS, PLASMA LIPIDS AND

LIPOPROTEINS

D.A. Davey, G.M. Berger, D. Yon and F.E. Hardle - Cape Town, South Africa

The

effects of

micronised oestradiol (ME) 2 cogdally for 28 days followed by

ME 2mg daily combined with either 1 tugor for

28

days were

hot flushes, the levels of biochemical and

norethisterone acetate (NET)

plasma lipids and

lipoproteins and

Thirty

56

days

(after 28

post-menopausal

women

allocated to two groups according to NET dose In a the

effects of

the

standard

endocrine profiles were measured before treatment and at 28 days

(after oestrogen alone) and progestogen).

0.5 mg

studied in a double-blind comparative trial. The incidence of

ME

alone and

of

Preliminary analysis suggests that

ME

days

with

of

plus

oestrogen

vasomotor symptoms were

randomised block design and

with the two doses of NET were compared.

(a) not

all women with

hot

flushes are

completely relieved by ME or combined ME/NET therapy, (b) ME 2 mg daily produces a fall in total cholesterol and total triglycerides,but a lipoprotein (HDL) cholesterol, (c) the in

rise in high-density

addition of NET 1 mg daily to

total cholesterol and

ME 2 mg

daily causes a

relative rise

relative fall

in HDL-cholesterol,the addition of NET 0.5 mg to ME having a less

triglycerides and

a

marked effect, and (d) differences also occur in plasma calcium, phosphorus and alkaline

phosphatase

levels.

Detailed

results

were

obtained and

their

significance assessed.

33

MID-LIFE WOMEN AND THEIR PHYSICIANS: HEALTH PERCEPTIONS

Catherine DeLorey - Boston, Massachusetts, U.S.A.

The

interest in mid-life physiological and psychological changes in women has

led to an increased awareness of and interest in their health problems and health care provided. Since the stage in women's lives and has

the

menopause is one of the major events at this

itself generated much

attention, it

has

been

realized that the physiological and psychological Influences of the menopause on the experiences of mid-life women warrant investigation.

Except for anecdotal reports, little is experiences of

mid-life women, how

known of

the health concerns and

they perceive their own health status, or