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In 2002, another study, examining dh combination hormone therapy, was stopped when researchers found that the hormones slightly increased the risk of breast cancer. But neither study addressed the question of what to tell younger women taking estrogen. ''We are trying dh to extrapolate to scenarios that we don't have clinical trials to cover,'' Dr. Hays said. Menopause that comes on overnight after a woman's ovaries are removed is often very different from menopause that begins gradually with age. With surgical menopause, noted Dr. dh Robert Brzyski, an associate professor of obstetrics and gynecology at the University of Texas Health Science Center in San Antonio, the symptoms ''just seem more profound and dramatic.'' This means that many women who had their ovaries removed say they cannot function without estrogen to soothe their symptoms. They also worry about bone loss, which is precipitated by ovary surgery and can be forestalled with estrogen. The women who wrote to Dr.
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