| BETHESDA, Md. (UPI) -- Analyses from the Women's Health Initiative confirm combination hormone therapy increases heart disease risk, U.S. researchers said.
Researchers from the Harvard School of Public Health and the National Heart, Lung and Blood Institute re-analyzed data from the landmark Women's Health Initiative clinical trial of the effects of combination hormone therapy -- progestin in combination with estrogen -- in 16,608 post-menopausal women with an intact uterus, ages 50-79 years at enrollment.
The study, published in the Annals of Internal Medicine, found a trend toward an increased risk of heart disease during the first two years of hormone therapy among women who began therapy within 10 years of menopause, and a more marked elevation of risk among women who began hormone therapy more than 10 years after menopause.
"Today, most women who take hormone therapy for menopausal symptoms begin therapy shortly after menopause. Based on today's report, even these women appear to be at increased risk of heart disease for several years after starting combination hormone therapy," Dr. Susan B. Shurin, acting director of the National Heart, Lung, and Blood Institute, said in a statement. "It is clearer than ever that women who are considering post-menopausal hormone therapy for menopausal symptoms should discuss their risk of heart disease and other risks -- such as breast cancer, stroke, and dangerous blood clots -- with their doctors before starting therapy."
Copyright 2010 by United Press International
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| Kathy Mitchell and Marcy Sugar Dear Annie: My son-in-law drinks too much. Over the years, I've seen "Ted" overindulge at weddings, and I notice he consumes a tremendous amount of beer. Lately, my worry has turned from concern to alarm.
They live far away, but we spent a few days with them over the holidays. Ted now starts with wine in the afternoon and has half a dozen beers every night while watching TV. Whenever they go out, my daughter is the driver. When he goes out alone, he takes a cab.
I don't believe this is normal behavior. My daughter says nothing about his drinking, although she made one comment about his not helping around the house. She is expecting their first child soon, and he will have to drive her to the hospital. What if he's been drinking?
Ted recently lost his job. (I'm not sure why.) I thought my husband, who has been a recovered alcoholic for more than 30 years, would be the perfect person to talk to him. But he thinks we shouldn't get involved. I am worried sick about the safety and emotional health of my daughter, not to mention their financial future. If I bring this up, am I being a caring mother or an interfering mother-in-law? -- Worried Mom
Dear Worried: At least Ted knows not to get behind the wheel, which gives you an opportunity to say something: Ask your daughter who will be driving her to the hospital when she goes into labor. Be very matter-of-fact when you make sure it's not Ted. She'll understand why. Then suggest she call Al-Anon (al-anon.alateen.org) at 1-888-4AL-ANON (1-888-425-2666). You can call them, too. If she tells you to back off, say nothing more.
Dear Annie: I started a small catering business a few years ago. My husband's sister asked me to create some Christmas food gifts for some family members. I sent catered meals to the ones who live nearby and shipped gift baskets to the two out-of-towners.
I spent time shopping for the baskets, as well as spending money of my own to mail them. My sister-in-law sent me a check for the cost of the baskets, but did not include anything for my time or the cost of the shipping. In the past, she has always remembered to send extra when I have done this for her. She also did not send my husband or me a holiday gift, even though she has before.
I know this sounds petty, and she has done many nice things for us over the years, but I can't help feeling used and slighted. I don't want to cause a scene, but it makes me angry. Should I say something or let it go for the sake of peace in the family? -- Insulted
Dear Insulted: Please let it go. Since your sister-in-law has always been good about these things in the past, we assume they slipped her mind this time and she meant no offense. If you make baskets for her again, gently remind her of the cost of shipping when you discuss the food items. This is your catering business. It's a good idea to make your prices clear, even to family members.
Dear Annie: In your response to "Just Wondering in Southern California," you used the word "germophobia." Is it something that you made up, or can you cite a source?
I did a Google search, and "verminophobe" may have been a better choice to describe someone with a fear of germs. -- A Crossword Puzzle Solver
Dear Puzzle Solver: We have used "germophobia" before, and so have our readers. We have no idea what the etymology is. It's a slang term, although you can find it in Wikipedia and other online sources. (Actually, an irrational fear of dirt and contamination is mysophobia.)
Annie's Mailbox is written by Kathy Mitchell and Marcy Sugar, longtime editors of the Ann Landers column. Please e-mail your questions to anniesmailbox@comcast.net, or write to: Annie's Mailbox, c/o Creators Syndicate, 5777 W. Century Blvd., Ste. 700, Los Angeles, CA 90045. To find out more about Annie's Mailbox and read features by other Creators Syndicate writers and cartoonists, visit the Creators Syndicate Web page at www.creators.com.
Copyright 2010 Creators Syndicate Inc.
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