23 Hastings Women's L.J. [i] (2012)

handle is hein.journals/haswo23 and id is 1 raw text is: Table of Contents
Winter 2012
Foreword
By Aishlin P. Hicks....................................1
The M Word Symposium:
An Interdisciplinary Adventure
Article by Lisa Faigman                    .........................3
The UC Hastings Women's Law Journal 2011 Symposium, co-
sponsored with the UCSF/UC Hastings Consortium on Law, Science and
Health Policy, was entitled Frontiers in Women's Health: The Role of
Hormones in Aging and Disease. In this Article, Professor Lisa Faigman
begins with a personal account of her own experiences with the
perimenopausal transition and hormone therapy, which served as the
impetus for the Symposium. Professor Faigman briefly recounts the
history of Menopausal Hormone Therapy (MHT) and provides a review
and analysis of the medical and research literature regarding the safety and
efficacy of hormone therapy to relieve the symptoms many women
experience in menopause. For decades, MHT was thought to be protective
against cardiovascular disease, dementia and osteoporosis, in addition to
providing symptom relief. The results of the large scale Women's Health
Initiative clinical trials seemed to contradict previously amassed scientific
evidence, and led to an about-face in the public health recommendations
regarding MHT, along with a marked decrease in its use in the U.S. It is
questionable whether the data from the WHI trials are appropriately used to
make recommendations regarding MHT for women near the age of
menopause. The potential public health and health care cost ramifications
of an increase in heart disease, dementia, and osteoporosis in women who
forgo potentially protective MHT are enormous, to say nothing of
diminished quality of life for many women. The essay concludes with a
summary of the issues addressed at the Symposium, including the urgent
need for additional research to answer the remaining critical questions
about MHT.
Hormone Therapy for Postmenopausal Women:
A Brief History of Time
Article by Cynthia A. Stuenkel, MD ..............     ..........45
All women who live long enough with ovaries intact will experience
the menopause transition. This nearly universal, natural physiological
event transcends mere biology, however. In our culture, the menopause

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