Are there cases where the lady really needs psychological or psychiatric help?
This happens more so when women resist to going to a psychiatrist. Often they are more comfortable talking to the family physician or the gynecologist because they have this feeling that they go to a psychiatrist only in case of a mental illness. They accept psychological help generally if they understand and if they have a good rapport with their doctor. We are trying to establish links with counselors who are professionally trained to counsel women of this age. Many a time putting on the HRT solves 50% of their psychological problems, but it is usually difficult to determine which woman needs psychiatric help and the one who needs HRT. What about increased risk of heart attack and reduced level of estrogen? Estrogen prevents heart attacks and osteoporosis. Women’s risk of heart attack is less before menopause but it is the same in men and women after menopause. Estrogen changes the HDL–LDL ratio. It also increases the rate of amount of blood flow through the vessels. Women at HRT is