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"Was I misled?"That's the question I hear most from my patients lately — asked with anger, exhaustion, and the quiet devastation of women who wonder if they lost years of their lives to menopause symptoms they were told were untreatable.
The answer came earlier this month when the
U.S. Food and Drug Administration announced it would remove "black box" warnings from hormone therapy products after 23 years. For many women, the reversal is an admission that arrives decades too late.
What Happened in 2002In July 2002, preliminary data from the Women's Health Initiative (WHI) were published in
JAMA, showing that
combined hormone therapy (estrogen and progestin) increased the risk of breast cancer, stroke, and pulmonary embolism. Major media outlets interpreted early signals from the study as definitive danger, and the announcement led to
an instant and dramatic decline in the use of hormone therapy.Women who had been sleeping well for the first time in years suddenly poured their medications into the trash. Pharmacies fielded calls from panicked patients demanding immediate discontinuation. Primary care doctors, most of whom had never been trained deeply in menopause management, told their patients to "stop now and ask questions later."
Women did stop, and many suffered in silence for the next 20 years.
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