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November 27, 1954


Author Affiliations

1415 Burnett Ave., Ames, Iowa.

JAMA. 1954;156(13):1273. doi:10.1001/jama.1954.02950130055021

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To the Editor:—  It is with considerable trepidation that I presume to enter into a controversy with so eminent an authority as Dr. E. R. Novak, but I cannot leave unchallenged certain of his attitudes as expressed in the Oct. 9, 1954, issue of The Journal, page 575, under the title "The Menopause." I have no quarrel with his facts, interpretation of the physiology, or general approach to the subject. It is in the field of therapy that I find myself at variance with his philosophy and methods.First, Dr. Novak's warnings regarding the overuse of estrogens, their potentially harmful character, and the necessity for keeping doses at a minimum are, of course, sound advice in the use of any drug. It should be mentioned, however, that certainly by this time many tons of this material have been given in the management of the menopause, and I have yet to

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