Maturitas 54 (2006) 181–192
Personal use of hormone therapy by postmenopausal
women doctors and male doctors’ wives in Italy after
the publication of WHI trial
Nicoletta Biglia
∗
, Ester Ujcic, Franziska Kubatzki, Paola Sgandurra,
Claudio Robba, Riccardo Ponzone, Piero Sismondi
Gynaecological Oncology Department, University of Turin, Mauriziano “Umberto I” Hospital, Largo Turati 62, 10128 Turin, Italy
Received 28 April 2005; received in revised form 12 October 2005; accepted 17 October 2005
Abstract
Objective: To describe the prevalence of hormone replacement therapy (HT) use by postmenopausal women doctors and doctors’
wives in Italy and to explore the relationship between their personal characteristics and HT use.
Design: A total of 500 women doctors and 500 men doctors answering on behalf of their female partners were interviewed
by a specialised company in the first months of 2003. Questions were meant to explore medical, behavioural and professional
characteristics, personal use of HT, reasons for or against HT use and side effects of HT. The distribution of doctors’ specialisation
(general practitioners (GPs), gynaecologists, medical oncologists) in the sample interviewed was the same as that of the Italian
medical community.
Results: Overall, 37% of women doctors and 39% of doctors’ wives had ever used HT after menopause, of which 64 and 58%,
respectively, were current users. The median duration of HT in the past users was 2.7 years for women doctors and 3.7 for
doctors’ wives. There were wide differences of HT use according to the type of specialisation: gynaecologists were more willing
to use HT (56–59%) than GPs (30–31%) or medical oncologists (16–30%).Vasomotor symptoms (68–69%), followed by the
prevention of osteoporosis (28–39%), were the main reasons for commencing HT. The main reasons not to take or to stop HT
were the absence or resolution of menopausal symptoms. Only 8% of women doctors and 4% doctors’ wives stopped HT after
the publication of the WHI data.
Conclusions: In Italy, women doctors/doctors’ wives personally use HT much more than postmenopausal general population.
© 2005 Elsevier Ireland Ltd. All rights reserved.
Keywords: Hormone replacement therapy; Survey; Women doctors; Personal use
∗
Corresponding author. Tel.: +39 011 50 82 682;
fax: +39 011 50 82 683.
E-mail addresses: ginecologia@mauriziano.it,
nbiglia@mauriziano.it (N. Biglia).
1. Introduction
Only around 8% of postmenopausal Italian women
use hormone therapy (HT), with the highest figure in
the north-eastern (12–15%) and the lowest in the south-
0378-5122/$ – see front matter © 2005 Elsevier Ireland Ltd. All rights reserved.
doi:10.1016/j.maturitas.2005.10.008