A 49-year-old woman is considering the use of combined estrogen-progesterone hormone replacement therapy (HT) during menopause. Which information will the nurse include during their discussion?
a. Use of estrogen-containing vaginal creams provides most of the same benefits as oral HT.
b. Increased incidence of colon cancer in women taking HT requires more frequent colonoscopy.
c. HT decreases osteoporosis risk and increases the risk for cardiovascular disease and breast cancer.
d. Use of HT for up to 10 years to prevent symptoms such as hot flashes is generally considered safe.
ANS: C
Data from the Women's Health Initiative indicate an increased risk for cardiovascular disease and breast cancer in women taking combination HT but a decrease in hip fractures. Vaginal creams decrease symptoms related to vaginal atrophy and dryness, but they do not offer the other benefits of HT, such as decreased hot flashes. Most women who use HT are placed on short-term treatment and are not treated for up to 10 years. The incidence of colon cancer decreases in women taking HRT.
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