A female patient asks about using hormone replacement therapy (HRT) for menopausal symptoms but is concerned about the risks. How can the health care provider best guide the patient decision to begin or forego HRT?
A) "The significant increases in the risk of heart disease make HRT a risky treatment that is best avoided.".
B) "You won't likely be increasing your risk of heart disease if you begin HRT, but neither will you be preventing.".
C) "The overall effectiveness of HRT in alleviating the unwanted changes that following menopause has been disproven.".
D) "HRT can best be described as a tradeoff, where menopausal symptoms decrease but there is a significantly increased risk of hip fractures and breast cancer.".
B
Feedback:
Although women can feel reassured that they are not increasing their risk for cardiovascular disease by using hormones to treat symptoms as they go through menopause, it is not wise to extrapolate from the data that women should take hormones for the prevention of heart disease. HRT is not noted to increase the risk of breast cancer or hip fractures, while the effectiveness at relieving symptoms of low estrogen is significant. The health care provider would be unlikely to categorically rule out HRT as a treatment option, but would more likely weigh the potential risks and benefits with the client.
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