Thursday, 21 November 2019

Debates on drug selection on menopuse


Questions that have remained answered related to management of menopause ?? AS  of now sleeting some form of supportive therapy (hormonal or nonhormonal) is a difficult task for all us. Who are the candidates for  HR?? Who are candidates for nonhormonal HRT and what are the list of drugs that we have in our basket as non hormonal HTRT  e,g calcium, vitamins, Gym, Lipoid lowering agents if dyslipidaemia, ??  For instance many of us are in dilemma about selection of suppl/ replacement drugs in cases with A)  for women who  had undergone TAH BSO for Stage IV Pel Endometriosis?? B) Dilemma   Tr for women Who had Fibroids and had undergone TAH BSO? C) Dilemma for supportive drug selection  who are still having asymptomatic Myoma/Adenomyosis and have attained natural menopause? Do they really warrant HR?
Have we arrived ast an universal agreement abiut drug of chopice for hot flush in cases à say Ideal HRT for Smokers/ Obese women/ Had GB open done, /DM/ Migraine/ Chr. Liver disease?? Ideal HRT for benign Br disease? I ponder how many of us prescribe  Raloxifene and Tibolone/CCE-MPA concurrently to achieve highest possible degree of bone Health?

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