COVER STORY
Did it Have to Happen?
Forty percent of menopausal American women try hormone- replacement therapy. But a major study calls it a cancer threat

What Did the Study Show? Sizing up the risks

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What Can I Do Instead?
Combatting diseases commonly associated with menopause


Alternative Therapies
Pre-menopause to post-menopause


What about menopause worries you the most?
Hot flashes
Night sweats
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Aging
Osteoporosis
Other health risks


Tropic of Cancer 
The news on breast-cancer research that could save lives
2/18/2002
Estrogen 
It may be an elixir of youth, but is there a risk of cancer?

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HRT Study Halted



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SPL/PHOTO RESEARCHERS


What Did the Study Show?
An increase risk of breast cancer led to an early halt of study

Posted Sunday, July 14, 2002; 12:31 p.m. EST
The Women's Health Initiative (WHI), begun in 1991 by the National Institutes of Health, is one of the largest studies of women's health ever undertaken. More than 160,000 post-menopausal women ages 50 to 79 were recruited into a variety of trials designed to find the best ways to prevent heart disease, breast and colorectal cancers, and osteoporosis.

Thanks to the study's rigid design, most doctors view the WHI as the definitive word on women's health. Final results were due out—and eagerly awaited—in 2005. But one part of the study, involving more than 16,000 women, was halted last week. These women were taking a combination of estrogen and progestin called hormone-replacement therapy (HRT).

Researchers concluded that the risks of HRT clearly outweighed the benefits (see table). Though HRT may still be appropriate as a short-term therapy for menopausal distress, women cannot expect it to protect them in the long term against aging-related diseases. Other parts of the giant WHI study, including a trial that looks at the effects of estrogen alone, continue.



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FROM THE JULY 22, 2002 ISSUE OF TIME MAGAZINE; POSTED SUNDAY, JULY 14, 2002

Copyright © 2002 Time Inc. All rights reserved.
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