Table 4.
Impact of Women's Health Initiative on Hormone Therapy Prescribing by Practice Site, Reported as Percentages
|
HVMAa |
GHa |
||||||
---|---|---|---|---|---|---|---|---|
Use more | No change | Use less | Don't use | Use more | No change | Use less | Don't use | |
Estrogens | ||||||||
Oral unopposed estrogen in women who have had a hysterectomy | 0.8 | 31.3 | 66.4 | 1.6 | 0.5 | 33.9 | 63.8 | 1.8 |
Combination oral estrogen plus progestin in women with a uterus | 0.8 | 13.3 | 84.4 | 1.6 | 0.9 | 16.4 | 80.6 | 2.1 |
Low-dose estrogen products | 48.0 | 18.9 | 31.5 | 1.6 | 52.6 | 20.1 | 25.2 | 2.1 |
Vaginal estrogen*** | 56.3 | 29.7 | 12.5 | 1.6 | 41.6 | 43.2 | 10.2 | 5.1 |
Transdermal estrogen products*** | 22.8 | 26.8 | 30.7 | 19.7 | 15.1 | 40.7 | 23.4 | 20.8 |
Estring*** | 61.4 | 13.4 | 8.7 | 16.5 | 25.2 | 24.0 | 7.4 | 43.4 |
Oral testosterone with estrogen*** | 2.3 | 27.3 | 15.6 | 54.7 | 4.2 | 40.6 | 20.9 | 34.3 |
Bioidentical estrogen or progestogen | 8.6 | 23.4 | 16.4 | 51.6 | 12.5 | 31.2 | 13.9 | 42.5 |
Ultra low-dose estrogen patch*** | 11.8 | 12.6 | 3.9 | 71.7 | 3.7 | 12.7 | 4.2 | 79.5 |
Progestogens | ||||||||
Medroxyprogesterone acetate*** | 0.8 | 36.2 | 32.3 | 30.7 | 1.4 | 52.3 | 35.7 | 10.7 |
Other oral progestogen*** | 7.1 | 31.0 | 16.7 | 45.2 | 6.3 | 45.9 | 26.2 | 21.6 |
Sequential progestogen (e.g., 10–14 days per month)** | 3.2 | 27.2 | 31.2 | 38.4 | 2.1 | 39.1 | 32.9 | 25.9 |
Continuous progestogen (e.g., daily)** | 1.6 | 31.8 | 27.8 | 38.9 | 3.0 | 42.7 | 28.3 | 26.0 |
Long-cycle progestogen (e.g., 2 weeks to two times a year)*** | 10.2 | 17.3 | 13.4 | 59.1 | 2.8 | 21.1 | 16.0 | 60.2 |
Transdermal progestogen | 3.2 | 17.5 | 4.0 | 75.4 | 3.2 | 21.3 | 10.4 | 65.1 |
Other | ||||||||
Testosterone cream for decreased libido** | 6.3 | 29.1 | 3.9 | 60.6 | 8.8 | 41.6 | 5.1 | 44.6 |
The number of HVMA respondents ranged from 125 to128; GH from 431 to 434.
Statistically significant difference between GH and HVMA, p < 0.05.
Statistically significant difference between GH and HVMA, p ≤ 0.01