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Back in , everything seemed so simple. Something was lacking — so supply had to be restored. Now, 55 years later, the situation is a little more complicated. Bitzer has been working in the fields of psychosomatics and sexual medicine for many years. Since his formal retirement, he has been working in a group gynecological practice. Yet in women, changes commence much sooner than that — at an average age of 52, when menopause begins.
Most of these are cardiac and circulatory issues: The body stops producing estrogen, which protects the blood vessels from arteriosclerosis during the fertile years. In addition to hormonal symptoms, there are other conditions that are unrelated to hormones and affect women and men alike. These include most cancers, as well as — once again — arteriosclerosis. According to Bitzer, cardiac and circulatory conditions are the leading causes of death for both genders.
This large-scale study with a price tag of million US dollars and , participating test subjects was launched in the USA in , yet it involved women from around the world, also in Basel. Bitzer has mixed feelings when he recalls this time in the early s when hormones were suddenly considered the work of the devil.
Yet when the initial results of the WHI study became public, the pendulum swung all the way in the opposite direction: The women became scared; they categorically rejected hormone therapy — even those who would have clearly benefited from it.
