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The menopause and hormone replacement therapy: Australian general practitioners' self-reported opinions, attitudes and behaviour |
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| Authors: | O'Connor, Vivienne Mar, Christopher Del Sheehan, Mary Fox-Young, Stephanie Cragg, Carole Siskind, Vic |
| Affiliation: | Department of Obstetrics and Gynaecology, University of Queensland, Mater Hospital South Brisbane 4101 *Centre for General Practice, University of Queensland, Medical School Herston, Queensland 4006 **Department of Social and Preventive Medicine, University of Queensland, Medical School Herston, Queensland 4006 !["{dagger}"]("/math/dagger.gif") Women's Health Centre Brisbane, Australia |
| Abstract: | OBJECTIVES: We describe the attitude and views of general practitionerstowards the menopause and hormone replacement therapy (HRT)in metropolitan Brisbane, Australia. METHODS: A total of 216 general practitioners were nominated by a randomsample of urban-dwelling women aged 4554 years who formedthe Brisbane Women's health study. A 2030 minute face-to-facequestionnaire with the general practitioners was administeredand analysed by demographic characteristics. RESULTS: There was a 93% response rate. Management of the menopause andHRT was routinely undertaken by general practitioners for theirown patients. After deciding to in itiate HRT, >60% of generalpractitioners ordered five investigations or more. They mayhave confused the risk of thrombo-embolism from oestrogens usedin the post-menopause with that for contraception. There weredifferences between male and female practitioners in some areas.Male general practitioners, in particular, reported more difficultywith tailoring and adjusting regimes. CONCLUSIONS: Specific areas for further education are explored to meet theeducational needs of general practitioners. Keywords. Hormone replacement therapy, menopause, diagnostic tests, routine delivery of health care, family practice. |
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