In the first complete history of hormone replacement therapy (HRT), Elizabeth Siegel Watkins illuminates the complex and changing relationship between the medical treatment of menopause and cultural conceptions of aging. Describing the development, spread, and shifting role of HRT in America from the early twentieth century to the present, Watkins explores how the interplay between science and society shaped the dissemination and reception of HRT and how the medicalizationand subsequent efforts toward the demedicalizationof menopause and aging affected the role of estrogen as a medical therapy. Telling the story from multiple perspectivesphysicians, pharmaceutical manufacturers, government regulators, feminist health activists, and the media, as well as women as patients and consumersshe reveals the striking parallels between estrogen's history as a medical therapy and broad shifts in the role of medicine in an aging society. Today, information about HRT is almost always accompanied by a laundry list of health risks. While physicians and pharmaceutical companies have striven to develop the safest possible treatment for the symptoms of menopause and aging, many specialists question whether HRT should be prescribed at all. Drawing from a wide range of scholarly research, archival records, and interviews, The Estrogen Elixir provides valuable historical context for one of the most pressing debates in contemporary medicine.
AcknowledgmentsIntroduction1. Beginnings2. From the ''Neutral Gender'' to ''Feminine Forever''3. Selling Estrogen to Doctors4. Selling Estrogen to Women5. From Hero to Villain: Estrogen and Endometrial Cancer6. Enter the Feminists: Informing Women about Estrogen7. Enter the FDA: A Patient Package Insert for Estrogen8. Resurrecting Estrogen, I: Osteoporosis and Medical Science9. Resurrecting Estrogen, II: Osteoporosis and American Culture10. Skeptics and Believers: Varieties of Women's Responses11. Weighing the Benefits and Risks of HRT: Estrogen, Heart Disease, and Breast Cancer12. 1992: The Year of the Menopause13. Meno-Boomers: Another Generation Confronts Estrogen14. The ''Gold Standard'': Estrogen and the Randomized Controlled TrialsNotesIndex
""Estrogen Elixir has many strengths... a commendable and welcome addition to emerging literature in modern women's health history.""
