Despite the fact that the average woman spends one third of her
life after the menopause, medical research has been devoted almost
entirely to the repro ductive period of her life span. This is
perhaps not surprising in our youth orientated society and yet
there is increasing evidence that properly applied and supervised
hormonal therapy could alleviate many of the severe physical
symptoms which are associated with the ovarian menopause and that
in the long term other aspects of physical deterioration could be
modified. This lack of scientific research has made it difficult to
assess which symptoms are due to the altered hormonal status of the
post-menopausal period and which are due to the normal process of
ageing, or the various psychological pressures which build up
around most women in the fourth and fifth decades of life. In
America doctors have been treating the 'menopausal syndrome' with
estrogens for over 30 years, but in the United Kingdom
gynaecologists and family doctors have been reticent to prescribe
these steroid preparations. As a consequence, they have been
labelled reactionary by the media and while there may be some truth
-in this, it should be remembered that the hazar. ds associated
with synthetic estrogens in the contraceptive pill were first
brought to light by British epidemiological surveys.
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