J Med Assoc Thai 2003; 86 (6):385

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Hormone Replacement Therapy : Attitude and Acceptance of Bangkokian Women
Taechakraichana N Mail, Wilawan K , Wipatavit V , Maitrisathit S , Thamanavat N , Jaisamram U , Panyakhamlerd K , Havanond P , Limpaphayom KK

KITTISAK WILA WAN, MD.**,
SUNEE MAITRISATHIT, MD.****,
UNNOP JAISAMRARN, MD*,
PlY ALAMPORN HA V ANOND******,
Objective : To conduct a hospital-based survey to assess women's attitude and acceptance
towards menopause and hormone replacement therapy (HRT).
Method : The authors conducted a survey in women who visited the menopause clinic in 5
university and public hospitals in Bangkok. A group of 615 women who lived in those catchment
areas and voluntarily cooperated in responding to a set of standardized questionnaires was randomly
selected.
Results: Of the total respondents, 97.0 per cent were in the age range between 40-70 years,
51.7 per cent were in the peri-and postmenopausal period, 65.7 per cent believed that menopause is
a natural change but some may need medical treatment, 53.9 per cent were current users of which the
average duration of HRT use was 4.70
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3.36 years. The most common reasons for HRT initiation were
osteoporosis, hot flashes, and vaginal dryness. The most common side effects found in the current
users were breast pain, headache, and vaginal bleeding. Of all the current users, 43.2 per cent wanted
to switch from HRT. Most of the respondents (95.4%) based their decision on the choices of treat-
ment on medical advice. Of the total respondents, 62.0-74.7 per cent reported not having enough clear
information on menopause and HRT.
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