Next session. Debate. MHT for primary prevention. For: Prof Robert Langer. Begins by revisiting WHI #IMS2022 
Describes preventive effects of MHT on CHD and other conditions. Choice of progestogen important. #IMS2022
Against: Prof Mary Ann Lumsden (UK).
Discussion of US preventive services task force. These recommendations don’t apply to women seeking relief of symptoms. #IMS2022
Discusses WHI and Million Women’s study.
Issue of healthy user bias in observational studies.
Acknowledges window of opportunity for cardiovascular disease prevention.
Issue of healthy user bias in observational studies.
Acknowledges window of opportunity for cardiovascular disease prevention.
Osteoporosis: MHT prevents fractures (but need to take it for a long time to prevent hip #.)
Dementia: controversial! Impact of MHT on dementia is unclear.
Breast cancer: Small inc in risk, higher with longer term use. #IMS2022
Dementia: controversial! Impact of MHT on dementia is unclear.
Breast cancer: Small inc in risk, higher with longer term use. #IMS2022
Lively debate following from audience questions about MHT versus statins for primary prevention. #IMS2022
More lively debate…we need a whole conference on MHT for prevention. We need to always come back to lifestyle factors and social determinants of health. #IMS2022
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