ArticleRevista da Associacao Medica Brasileira (1992)2026
Menopausal hormone therapy in Türkiye: physician knowledge and practice gaps.
Article in Revista da Associacao Medica Brasileira (1992), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThe aim of this study was to evaluate physician awareness, attitudes, and prescribing practices regarding menopausal hormone therapy in Türkiye and to identify specialty-related practice gaps in the context of evolving evidence.
methodsA cross-sectional online survey was conducted between January and June 2025 among physicians in obstetrics and gynecology, endocrinology, and internal medicine. A 15-item structured questionnaire assessed menopausal hormone therapy knowledge, attitudes, and prescribing behaviors. Descriptive statistics and chi-square tests were used, with p<0.05 considered statistically significant. Multivariable logistic regression was performed to identify factors associated with willingness to initiate menopausal hormone therapy.
resultsA total of 235 physicians participated. Overall, 53.2% reported familiarity with menopausal hormone therapy guidelines, with significant differences across specialties (p<0.001); internal medicine physicians demonstrated the lowest awareness and the highest self-reported inadequate knowledge (94.4%). Willingness to prescribe menopausal hormone therapy for symptomatic women aged 50-59 years differed significantly by specialty (p<0.001), highest among obstetrics and gynecology physicians and lowest among internal medicine physicians. In adjusted analysis, internal medicine (aOR 0.179, 95%CI 0.067-0.474; p=0.001) and endocrinology (aOR 0.252, 95%CI 0.120-0.531; p<0.001) were independently associated with lower willingness to initiate menopausal hormone therapy.
conclusionSignificant specialty-dependent gaps in menopausal hormone therapy knowledge and prescribing confidence persist in Türkiye. Targeted education and improved dissemination of contemporary guidelines may help reduce undertreatment of symptomatic menopausal women.
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