Here we go: No
alternative questions U have to all
answer all the Questions. Members expect that U should disseminate your expertise,
knowledge, and above all wisdom and
members like to know your practice
pattern to all of us .Q.1 . Does all healthy (disease free) & symptomless
women mandate HRT as soon as she achieves menopause?
Q..2 Timing of
initiation of Nonhormonal HRT or hormonal HRT?? In such healthy women
what will be ideal HRT (first choice) and what will be the time of initiation
of HRT? AT what time such healthy women
(absence of DN, HTN, and hyperlipidaemia) --- such HRT should be stopped. What
will be rough annual cost of such HRT in perfectly well woman excluding the
cost of monitoring due to drug?
Q. 3:
What is your/Society’s view on routine calcium and Vit. D suppl. to all
Indian women after attaining the age of 35 yrs. If you do approve such
suppl at what age you propose to stop such nutritional suppl. Any monitoring
during such Ry or side effects.
Q.4.
Do you routinely prescribe/inject
some oestrogen if you perform TAH and BSO before she leaves nursing home?
On which postoperative day you would be happy to initiate HRT if you perform
oophorectomy concurrently / do not sacrifice ovaries? What should be usual
choice of HRT in medically fit women after
TAH & BSO?
Q.
5 . What HRT will be ideal for women suffering from some medical
diseases like DM, HTN, IHD (CAD), Hyperlipidaemia, Chr. Joint
disorders, Hyperuricaemia etc. etc?
Q.
6 . what important prophylactic steps doctors/gynecologist usually misses or
usually does not advice in premenopausal years to prevent bone loss/ breast cancer? What are the lapse on the part
of doctors that cause much annoyance to people like you who are more concerned
about pre/postmenopausal wellbeing of Indian women? What will be your message to people like us?
Q.
7 . what are the different pharmaco-prophylaxis of osteopenia /osteoporosis in
postmenopausal years excluding aerobic exercises. From our experience we have
learnt that they seldom undergo exercises as prescribed. There is no point in
denying this.
Q.
8. What are the usual prophylactic therapeutic measures to protect Breast
malignancy? Is any drug available to prevent Breast malignancy? What will be
HRT of choice in cases with family history of Breast Cancer/personal history of
having fibroadenosis of breast? What type of HRT will be safe in a woman with
mammographic evidence DENSE BREAST?
Q.9
. the investigative process of mammography is underutilized in India: what is
your view on this personal feeling? To put in other way what are the usually
globally accepted indications/ recommendation of mammography in otherwise asymptomatic
women. Any difference of timing in women who are on HRT and who are not on HRT.
Quiz
10: What is the list of Pretests prior to initiation of HRT? Any difference
with hormonal/ nonhormonal HRT in this regard?
Q.
8. What is your opinion on routine
evaluation of bone health by BMD?
/
T—Score?
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