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Sex Hormone Replacement Therapy addresses important issues in contemporary endocrinology. Its major emphasis is on the consequences of the menopause and on androgen deficiency in the absence of overt disease of the hypothalamus and/or pituitary in men. The use of hormone therapy for the primary prevention of cardiovascular disease in post-menopausal women has become an area of major debate, and the pros and cons are examined in detail. Secondary prevention also remains controversial and is addressed in this volume. An issue of particular concern is the treatment of estrogen deficiency symptoms in women with the diagnosis of breast cancer. Whether older men with some androgen deficiency symptoms and equivocally low plasma testosterone concentrations should be treated with androgens is also a matter of great debate, as is the efficacy and safety of plant estrogens in the treatment of menopause-related complaints. Sex Hormone Replacement Therapy will be of interest to students and non-specialists, as well as a wide range of medical practitioners including endocrinologists, gynecologists, rheumatologists and cardiologists.
List of Contributors. Preface; H.G. Burger. 1. Hormone Therapy and the Primary and Secondary Prevention of Cardiovascular Disease; A. Pines. 2. Hormone Replacement for Prevention and Treatment of Osteoporosis - What Are The Options? J. Zochling, P. Sambrook. 3. Hormone Replacement Therapy for Dementia; V.W. Henderson. 4. The Treatment of Estrogen Deficiency in Women at Risk for Breast Cancer and Survivors of the Disease; R. Santen, J. Pinkerton. 5. Phytoestrogens as Hormone Replacement Therapy for Menopausal Symptoms; S.R. Davis. 6. Androgen Deficiency in Men Without Overt Pituitary-Gonodal Disease: The Role of Testosterone Therapy; S. Bhasin. Index.