Newsletter
Newsletter The Women’s Health Activist® is a bimonthly publication of the National Women’s Health Network. We’d like to hear from you. Please e-mail questions or comments to editor@nwhn.org.
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Women's Health Snapshots: Hormone Replacement Therapy
Beliefs about HRT differ by physician gender and specialty. Of 74 family physicians, internists, gynecologists, and physician assistants, female physicians were significantly more likely than their male counterparts to overestimate the benefits of HRT on Alzheimer's disease, osteoporosis, and heart disease. Gynecologists are less concerned about risks of HRT than other types of doctors.
Journal of Women s Health September 1998 pp. 879-84
Pharmaceutical Companies Advertise to Physicians, Too
By Donna S. Kohlhepp
Pharmaceutical companies spend millions of dollars a year in advertising to promote product loyalty and increase sales. The article "Brand Name Battles: Drug Companies Try to Buy Your Loyalty" in the November/December 1998 Network News addressed the influence of such advertising on consumers. An equally important issue is the influence of advertising—and other marketing— on physicians.
About YOUR Health: IBS and UTIs
Questions and Answers from the NWHN Women's Health Information Clearinghouse
Q: I've been recently diagnosed with irritable bowel syndrome and am investigating management measures. Do you know of any?
No End to Breast-Implant Controversy
By Diana Zuckerman, Ph.D
More than 400,000 American women with silicone implants will soon agree to a $3.2 billion settlement from Dow Corning. Another 400,000 are suing three other implant manufacturers.
Disability Rights and Prenatal Genetic Testing
By Regina Kenen
Women’s Health Snapshots:Prior oral contraception use
Prior oral contraception (OC) use may increase a heart disease risk factor for some postmenopausal women years after discontinuation. Postmenopausal women who had previously used OC for 5 or fewer years had higher diastolic blood pressure than those who had never used the Pill. No difference was found for postmenopausal women who had used OC for 6 or more years or for premenopausal women.
Journal of Women s Health March 1998 pp. 221-228
Zeneca vs. Lilly vs. Zeneca: Will Lawsuits Lead to Better Information?
On February 25, Zeneca filed suit against Eli Lilly Co., claiming that Lilly's promotion of raloxifene was inappropriate and misleading. Zeneca, which markets the Nolvadex brand of tamoxifen, charged that Lilly's sales representatives are visiting oncologists and presenting raloxifene as a cancer preventative. On March 19, Lilly countersued, asking the court to stop Zeneca from making comments about Lilly's sales tactics.
Update on Gender Inequity in Insurance Coverage: Contraceptive Coverage Initiatives
Women's health advocates and supportive members of Congress have been trying in recent years to establish gender equity in insurance coverage of prescriptive costs, particularly as it relates to the coverage of contraception.
Up!! Up!! And Away!!
Well, the Network's membership department has sailed off into a new direction. Due to unforeseen changes in the infrastructure of our old database management provider, the Network has found it necessary to relocate its database. We have now enlisted the services of another provider to supply us with online recordkeeping of our membership. This new form of collecting and retrieving information via E-mail will enable us to better access your files.
Resources
New resources available from the Asian & Pacific Islander American Health Forum include Asian & Pacific Islander Women's Health, a 47-page annotated bibliography of existing research which includes cancer, health status, health practices, infectious disease, mental health, nutrition and breastfeeding, birth control, prenatal care and birth outcomes, and domestic violence. Published in 1998, it is available for $5. The Forum also publishes a free quarterly newsletter of interviews, articles and event announcements.
From Our Readers: Seeking Whiplash Stories
"Rear-end collisions produce the greatest number of non-fatal [whiplash] injuries" according to the National Safety Council. It takes a rear-end collision to show that all necks are not ereated equal: women are several times more likely to be seriously injured than men but rarely receive the best care that sports medicine can offer. My purpose in writing The Whiplash Handbook, a survivor's guide, was to demystify this controversial injury and provide information which had not been readily available to whiplash victims and their families until now.
Tamoxifen Approved for Risk Reduction Network Criticizes First Ad
On October 29, with much fanfare, the FDA approved tamoxifen for risk reduction in women at high risk of breast cancer. This action came about as a result of a large clinical trial which found that healthy women taking tamoxifen were less likely to be diagnosed with breast cancer while they were on the drug. The decrease in breast cancer cases was significant—45% fewer diagnoses of invasive breast cancer—but was accompanied by significant increases in potentially fatal complications including endometrial cancer and blood clots.
Mastectomy as Preventation?
The Mayo Clinic recently published a study on the efficacy of prophylactic mastectomy—the removal of a woman's breasts in order to prevent breast cancer. The January 14, 1999 issue of The New England Journal of Medicine reported the results of the research which found that the incidence of breast cancer in those women with a family history of breast cancer that have undergone preventive mastectomy is significantly lower than would have been expected without the surgery.
Lesbian Health Gains Long Due Attention from Institute of Medicine
By Amy Allina
From Our Readers: Midwifery Article Delivers Comments from Readers
After the July/August 1998 article on midwifery in the United States ("Routine Midwifery Care: Why Not Here?"), we received a lot of interesting feedback from our readers.
Very Early Abortions: Rising Choices
By Anjali Mehta
A woman's period is a few days late. She runs to get a home pregnancy test, and after
several tests comes to the undeniable conclusion she is pregnant. She is sure that she doesn't want to carry the pregnancy to term, but it has only been five weeks since her last period. She falsely believes that she will have to wait at least another three agonizing weeks until she can actually get an abortion. She is unaware that she has several options to terminate the pregnancy right now.
Wild Yam Cream, Diosgenin, and Natural Progesterone: What Can They Really Do for You?
By Adrians Fugh-Berman
Amidst the large and sometimes confusing variety of hormone replacement therapy options, “natural" hormones have been growing in both visibility and popularity. Creams containing wild yam extracts or natural progesterone, or oral natural progesterone preparations are emerging as the HRT option of choice for some women. What are these products, and what is known about their safety and efficacy?
Women's Health Snapshots
Young women, aged 16-21, are 50% more likely than young men to be infected with HIV. The gender difference is most defined among teens aged 16-18.
Journal of Acquired Immune Deficiency Syndromes & Human Retrouirology September 1998, pp. 67-70
About YOUR Health
Questions and Answers from the NWHN Women's Health Information Clearinghouse
Q: I'm looking for ways to control my nausea. I would love to find a way that doesn’t cause drowsiness.
Women's Health Snapshots: Abuse and Pregnancy
Women who are sexually and physically abused are at greater risk for pregnancy-related complications. Abused women and their infants are more likely to experience preterm delivery, low birth weight, miscarriage, and fetal or newborn death.
Obstetrics and Gynecology October 1998, pp.530-534


