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Hormonale substitutie

Hormonale substitutie. Positief. Negatief. Menopauzale klachten Osteoporose preventie. Borst Veneuze thrombo embolische aandoeningen. ?. ARTERIEEL. Menopauzale klachten & levenskwaliteit. HST is zonder discussie de eerste keuze

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Hormonale substitutie

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  1. Hormonale substitutie Positief Negatief Menopauzale klachten Osteoporose preventie Borst Veneuze thrombo embolische aandoeningen ? ARTERIEEL

  2. Menopauzale klachten & levenskwaliteit • HST is zonder discussie de eerste keuze • Wat is het effect op de cognitieve functies; dementie, Alzheimer, …

  3. Osteoporose • Preventie is idealiter LANGDURIG • Wat met het risico op borstkanker? • HST gevolgd door SERM? • ERT met Tamoxifen? • STEARs?

  4. Cardiovasculair risico of protectie? • Window opportunity • Dosis reductie • Niet orale toediening? Geen indicatie in de secundaire preventie

  5. Premature menopauze • Zeker HST tot leeftijd waarop normaal menopauze intreedt

  6. Referenties • www.imsociety.org • www.rcpe.ac.uk/esd/consensus/hrt-03.html • JAMA 2004 april 14; 291:1701-12 • Climacteric 2004; 7: 8-11 2002; 5: 211-216 • Gynaikeia februari, mei 2004 • De agenda gynaecologie januari, april, juni 2004

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