RESUMO
BACKGROUND: Several large studies have showed higher risk and less benefit from hormone replacement therapy (HRT) than assumed, and sales figures have been reduced by almost a half. Several non-hormonal treatment alternatives for climacteric complaints are available. The object of this study was to determine the occurrence of climacteric complaints, and to study the use and efficacy of hormonal and alternative therapies among Norwegian women. MATERIAL AND METHODS: 150 participants in the Norwegian Mammography Screening Programme in Trondheim were interviewed about climacteric symptoms, use of HRT, and of alternative therapies. RESULTS: 81% of the participants had experienced vasomotor symptoms. The prevalence was highest among women aged 55-59 years. 23% of the women were current users of HRT, 27% were past users. 75% of the HRT users reported good effect. 25% of the participants were current users of alternative therapies, while 17% were past users. Soy was most frequently used as an alternative therapy. 42% of the alternative therapies were reported to be effective. INTERPRETATION: Half of the participants had used HRT, and most of these reported good effect. A corresponding number of women had used various alternative therapies, but the perceived efficacy of these was significantly poorer.