[How WHI study influences women doctors' behaviour towards menopause].
OBJECTIVE
A survey entitled FEMME was conducted during 2002 in order to evaluate among French women doctors their own actual or future menopause perception and this before the WHI publication. The results of this American trial possibly modified the perception of these French women doctors. Therefore the same experts group conducted a new survey, from May to September 2003. The main aim of this survey was to evaluate the possible changes in the medical management of the actual or future menopause of these women, and secondarily to evaluate the changes in their patients' behaviour towards hormone replacement therapy (HRT).


METHODS
Postal auto administered questionnaires were sent to the same 10 000 French women doctors (GP or gynaecologist) whatever their menopausal status or their age. 1365 women doctors (respectively 18,5 or 11% of the gynaecologists or GPs contacted) were volunteers to participate in this survey. Among them, 1120 (84,9%) had already participated in the first part of this survey which took place before the WHI publication.


RESULTS
80% of these women doctors have been informed on WHI results principally by professional press or conferences. 70,9% changed their own actual or future menopause perception as follows. No additional selection of non hormonal treatment have been mentioned in comparison with the first part of the survey. On the other hand for HRT, selections of free estrogen plus progestin associations increased whereas those of fixed combinations decreased: this might be linked to the greater variety of estrogen doses, types of progestin and schedules of treatment (mostly with bleeding) offered by this kind of associations. Finally, duration of HRT is included between three and ten years in most cases.


CONCLUSIONS
Thus, unlike most of their patients, these women's physicians always preferred hormonal treatment for their own actual or future menopause. Only the conditions of these treatments have changed.
Jamin
C
C
Service de gynécologie--obstétrique, maternité Aline-de-Crépy, CHU Bichat--Claude-Bernard, Paris, France. ch.jamin@laposte.net
Raccah-Tebeka
B
B
Chevallier
T
T
Micheletti
M-C
MC
D001291:Attitude of Health Personnel; D015914:Estrogen Replacement Therapy; D005260:Female; D006801:Humans; D008593:Menopause; D010822:Physicians, Women; D011795:Surveys and Questionnaires; D016387:Women's Health