This document discusses the crisis facing women and physicians regarding hormone replacement therapy (HRT) and menopause. It notes that volcanic studies like the Women's Health Initiative have spread wrong information about HRT, scaring women and doctors about side effects like breast cancer. As a result, many women give up HRT and suffer from vasomotor symptoms, while doctors fail to persuade them to continue HRT due to its benefits outweighing risks. The document will focus on HRT and breast cancer, reasons for doctors' failed persuasion, and lessons learned from menopausal women over 40 years.

1. The Epistemology
of the
woman’s Climacteric

2. The Heuristics
in
Clinical Medicine

3. Why are we today in a
CRISIS ?

4. We are today afflicted by
• Natural disasters:
- earthquakes
- tsunamies
- hurricanes
- vulcanos,etc and by
• Man imposed disasters:
- terrorism
- epidemics
- hunger,etc

5. Are we,physicians and women,
also in a
CRSIS ?

6. Vulcanos …
of
explosive studies (WHI) !

7. Hurricanes…
that spread the ashes of wrong
news allover the world…

8. Terrorism
imposed by many
epidemiologists …

9. Menopausal women and their
doctors are scared about the side
effects of HRT
mainly about breast cancer

10. Women give up HRT
and again are suffering from
incapacitating vasomotor
symptoms that are not relieved
by alternative medicines …

11. Many Doctors fail to persuade
them to go on with HRT,in
despite of telling that its benefits
are far greater than any
potential risk

12. WHY ?

13. Therefore,
I shall first concentrate on
- HRT and Breast Cancer
and then on
- the doctor’s failure of persuation,
a consequence of poor
communication skills

14. Finally,
I shall tell you what I have
learned from menopausal
women in the last 40 years