St. Luke's Hospital
Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Find a Physician Payment Options Locations & Directions
Follow us on: facebook twitter Mobile Email Page Email Page Print Page Print Page Increase Font Size Decrease Font Size Font Size
News Releases
About Us
Locations & Directions
Download Our Logo - ZIP
Download Photos - ZIP
Baby Bunting Photo Gallery
Release of Patient Information under HIPAA - PDF
St. Luke's Hospital in the News
News Media Contact
America's 50 Best Hospitals
Spirit of Women
Community Health Needs Assessment

In The News

Morton Rinder, MD, FACC, St. Luke's Hospital

A close look at hormone replacement therapy

Hormone replacement therapy (HRT) remains a hot topic for women and their doctors. In the 80s and 90s, the goal of HRT was to reduce heart disease in women by targeting estrogen withdrawal after menopause. Medical experts recognized women developed a significant risk for heart disease after menopause as their ovaries stopped producing estrogen and their blood vessels went through various changes. This risk accelerates to the point that women who are postmenopausal have a heart disease risk similar to men ages 60 or 65.

Oral estrogens were used by women in the 70s and 80s to help reduce menopause symptoms. Most women reported an improvement in night sweats and mood swings. The Nurses' Health Study, one of the largest and longest-running investigations of factors influencing women's health, sent questionnaires to nurses who took hormones to determine if those nurses had fewer health issues than those who did not. The study showed a significant reduction in heart disease and stroke among hormone users. As a result, investigators embarked on even larger studies.

These expanded studies included all women 50 to 75 years old and showed no overall health benefit of taking medication. Moreover, the studies showed an increased risk of breast cancer and slightly increased risk for stroke. When the results were broken down, it was clear that patients who had heart disease, were older or had other risk factors for heart disease had a higher risk of a cardiac event, while those who were young and healthy had a very low risk and even some protection.

The recent studies have caused caution with doctors considering estrogen therapy for all patients. It's clear that hormones are not safe in some women but are safe and effective in others. HRT should be avoided in patients who have many risk factors for heart disease, stroke or cancer. Finally, there is mounting evidence from European trials that hormones applied by patch to the skin may have more beneficial effects than oral therapy.

If you are considering HRT for menopausal symptoms, consult your physician - especially if you have risk factors for heart disease, stroke or cancer.

Dr. Morton Rinder specializes in internal medicine, general cardiology and interventional cardiology at Premier Heart Group, located on St. Luke's Hospital's campus. Call 314-485-3500 or visit his Physician Referral page.

This article was published in the St. Louis Post-Dispatch on October 22, 2009.

Back  |  Top
About Us
Contact Us
History
Mission
Locations & Directions
Quality Reports
Annual Reports
Honors & Awards
Community Health Needs
Assessment

Newsroom
Services
Brain & Spine
Cancer
Heart
Maternity
Orthopedics
Pulmonary
Sleep Medicine
Urgent Care
Women's Services
All Services
Patients & Visitors
Locations & Directions
Find a Physician
Tour St. Luke's
Patient & Visitor Information
Contact Us
Payment Options
Financial Assistance
Send a Card
Mammogram Appointments
Health Tools
My Personal Health
mystlukes
Spirit of Women
Health Information & Tools
Clinical Trials
Health Risk Assessments
Employer Programs -
Passport to Wellness

Classes & Events
Classes & Events
Spirit of Women
Donate & Volunteer
Giving Opportunities
Volunteer
Physicians & Employees
For Physicians
Remote Access
Medical Residency Information
Pharmacy Residency Information
Physician CPOE Training
Careers
Careers
St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Copyright © St. Luke's Hospital Website Terms and Conditions  |  Privacy Policy  |  Patient Notice of Privacy Policies PDF Sitemap St. Luke's Mobile