Ms Rima Patel, 48, senior vice president in a
leading pharma company, slated to be the next president of her flagship
division, had to take pre-mature retirement because of her hot-flushes which
embarrassed her no end at important meetings. Ms Patel had been recommended HRT
at the time of her hysterectomy (with ovaries too removed) 3 yr ago. She had
vehemently refused HRT because she felt it was not warranted. If this is the
state of a pharma VP, what about others?
Ms Bharti Mhatre, 52, had a violent bout of
sneezing and fractured 3 of ribs. Ms Bharti suffered from osteoporosis, one of
the effects of menopause. Even she had rejected the offer of HRT.
Both these are real-life cases and not a
figment of imagination. Doctors right across India are offering HRT, but our
patients, riddled with myths, reject HRT without even a serious consideration.
HRT provides the most effective way of managing problems associated with the
menopause. It gives dramatic relief of symptoms and protection from heart
disease, stroke and osteoporosis. But like any medication, HRT is not risk free.
The decision to begin treatment depends on a woman's medical history, her
symptoms and her risk of bone loss and cardiovascular disease. Some women are
less likely to develop problems due to low estrogen. Others choose not to use