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Griffiths f womens control and choice regarding hrt soc sci med1999 aug 49 469 81 question what is the process women go through when deciding whether to begin hormone replacement therapy hrt either oestrogen and progesterone or oestrogen alone qualitative study using individual interviews and focus groups community study in stockton on tees uk. Overview of womens decision making regarding elective hysterectomy oophorectomy and hormone replacement therapy lewis ce1 groff jy herman cj mckeown re wilcox ls author information 1division of preventive medicine school of medicine and the uab center for health promotion university of alabama at birmingham 35205 usa. Although clinicians are often expected to include patients in medical decision making there is little data to assist clinicians in this process the objective of this study was to investigate how patients make decisions and the role clinicians can play in this process in the context of how women decide about hormone replacement therapy. The need exists to investigate the impact of healthy lifestyles on attenuating the risk of cardiovascular disease in women as they age the majority of research on hormone replacement therapy hrt has focused on the biomedical model suggesting that menopause reflects an estrogen deficiency and is treatable by pharmaceutical intervention