By D. T. Baird (auth.), James O. Drife MD, FRCS Ed, FRCOG, John W. W. Studd MD, BS, FRCOG (eds.)
HRT and Osteoporosis is a reaction to the expanding understanding between either the scientific career and most of the people that ovarian failure is a crucial reason for osteoporosis and that a lot of the bone loss after the menopause should be avoided by means of oestrogen remedy. there's now an pressing want at the a part of girls, their medical professionals and people accountable for public overall healthiness coverage for useful assistance on such questions because the protection and acceptability of long term therapy with intercourse hormones, the commercial bills and advantages of such therapy, and the function of experts and GPs in selling and tracking hormone substitute treatment. a majority of these concerns and extra are thought of the following. The e-book comprehensively experiences present wisdom of the topic and offers concepts for medical perform and destiny research.
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23. Montgomery JC, Brincat M, Tapp A, Appleby L, Versi E, Fenwick PBC, Studd JWW. Effect of oestrogen and testosterone implants on psychological disorders in the climacteric. Lancet 1987; i:297-9. 24. Studd JWW, Watson NR. Estrogens and depression in women. In: Belfort P, Pinotti JA, Eskes TKAB, eds. Proceedings of the 12th world congress of gynecology and obstetrics, Rio, 1988; 297-301. 25. Van Keep PA, Kellerhals JM. The impact of socio-cultural factors on symptom formation. Psychother Psyehosom 1974; 23:251-63.
There is no doubt that the "empty nest syndrome" , death of parents , inadequate career opportunities, coupled with an intrinsic loss of self-value around the time of the menopause are substantial causes for depression, but the possibility of a hormonal component to depression in this age group has largely been denied by current psychiatric wisdom. We believe that this view is wrong. e. premenstrual depression, postnatal depression and climacteric depression. Conversely, during the last trimester of pregnancy cases of depression are reduced and suicide is rare.
It can occur independently of depressive disorder, and in itself is not particularly serious. On the other hand, 36 HRT and Osteoporosis depressive disorder is a syndrome; it is less common than depressed mood, but much more serious and disabling. A full description of the depressive syndrome can be found in a standard textbook of psychiatry . For present purposes it is sufficient to say that the syndrome consists of depressed mood plus other features. The latter include "loss" symptoms, notably loss of energy, loss of interest, and loss of the capacity to enjoy things that would normally be enjoyable.