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Protocol - Exogenous Female Hormone Use

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Protocol Name from Source:

The Expert Review Panel has not reviewed this measure yet.

Availability:

Publicly available

Description:

Female respondents self-report the use of estrogen and progesterone, including the duration and dose.

Protocol:

1. Have you ever taken estrogen ("female hormones") for symptoms of menopause (the change of life) or for other reasons?

[] No (go to question 11)

[] Yes, and I am currently taking estrogens

[] Yes, but I am no longer taking estrogens

2. The most frequently used estrogen is oral Premarin®. Have you ever taken Premarin® by mouth (as pills)?

[] No (go to question 7)

[] Yes

3. At what age did you first take Premarin®?

[] Before age 45

[] 45-49

[] 50-54

[] 55-59

[] 60-64

[] 65-69

[] 70 or older

4. At what age did you last take Premarin®?

[] Currently taking

[] Before age 45

[] 45-49

[] 50-54

[] 55-59

[] 60-64

[] 65-69

[] 70 or older

5. How many years in total did you take Premarin® (exclude those periods when you temporarily stopped)?

YEARS __ (If less than 1 year, mark as 1)

6. Five commonly used doses of Premarin® can be distinguished by the color of the pill. Please indicate any you have ever used and the one you used for the longest period.

Ever Used

Longest Used

(Answer for each)

(Mark one)

No

Yes

[_]

Green (0.3 mg)

[_]

[_]

[_]

Brown/Red (0.625 mg)

[_]

[_]

[_]

White (0.9 mg)

[_]

[_]

[_]

Yellow/Orange (1.25 mg)

[_]

[_]

[_]

Purple (2.5 mg)

[_]

[_]

[_]

7. Have you ever used estrogen other than Premarin® pills? (Answer for each)

Estrogen by mouth

[] No

[] Yes

Estrogen by injection

[] No

[] Yes

Estrogen by patch or implant

[] No

[] Yes

Estrogen vaginal cream or suppository

[] No

[] Yes

If you answered no to all parts of question 7, go to question 11.

8. At what age did you first use estrogens other than Premarin® pills?

[] Before age 45

[] 45-49

[] 50-54

[] 55-59

[] 60-64

[] 65-69

[] 70 or older

9. At what age did you last use estrogens other than Premarin® pills?

[] Currently taking

[] Before age 45

[] 45-49

[] 50-54

[] 55-59

[] 60-64

[] 65-69

[] 70 or older

10. How many years in total did you take estrogens other than Premarin® pills (exclude any time when you temporarily stopped)?

[] Less than 1 year

[] 1-2

[] 3-5

[] 6-9

[] 10-14

[] 15-19

[] 20 years or more

11. Sometimes another type of female hormone, progesterone (or "progestin"), is given for symptoms of menopause, either alone or in combination with estrogen. The most frequently used progestin is Provera® (medroxyprogesterone acetate). Have you ever used progesterone or a progestin?

[] No (End Survey)

[] Provera® only

[] Another type only

[] Provera® and another type of progestin

[] Yes, but don't know type

12. At what age did you first take progesterone or a progestin?

[] Before age 40

[] 40-44

[] 45-49

[] 50-54

[] 55-59

[] 60-64

[] 65-69

[] 70 years or older

13. At what age did you last take progesterone or a progestin?

[] Currently taking

[] Before 45

[] 45-49

[] 50-54

[] 55-59

[] 60-64

[] 65-69

[] 70 years or older

14. How many years in total did you take progesterone or a progestin (excluding any time when you temporarily stopped)?

[] Less than 1 year

[] 1-2

[] 3-5

[] 6-9

[] 10-14

[] 15-19

[] 20 years or more

15. If you used Provera®, what was your usual dose?

[] Did not use Provera®

[] 2.5 mg per day

[] 5.0 mg per day

[] 10 mg per day

[] 20 mg per day

[] Another dose

[] Don't know

16. When using progestin or progesterone, for how many days each month would you usually take it?

[] __ DAYS

Premarin® is a registered trademark, Wyeth Pharmaceuticals, Inc.; Provera® is a registered trademark, Pfizer, Inc.

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

None

Research Domain Information

Release Date:

December 30, 2009

Definition

Measure to assess use of the hormones estrogen and progesterone

Purpose

Estrogen and progesterone use has been linked to cancer risk. Assessing use of these hormones will help quantify their association with either increased or decreased risk of cancer.

Selection Rationale

This protocol was selected because it obtains detailed information of the most frequently used female hormones: estrogen (Premarin®) and progesterone (Provera®).

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Person Female Hormone Use Text2961276CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Exogenous female hormone proto62565-7LOINC

Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source

State of California, The California Teachers Study, Baseline, Fall 1995, questions 41–56, pages 6 and 7 (source for questions 1–16).

General References

Protocol ID:

70401

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX070401_Ever_Taken_EstrogenPX070401010000Have you ever taken estrogen ("female hormones") for symptoms of menopause (the change of life) or for other reasons?4Variable Mapping
PX070401_Ever_PremarinPX070401020000The most frequently used estrogen is oral Premarin. Have you ever taken Premarin by mouth (as pills)?4Variable Mapping
PX070401_Premarin_Age_FirstPX070401030000At what age did you first take Premarin?4N/A
PX070401_Premarin_Age_LastPX070401040000At what age did you last take Premarin?4N/A
PX070401_Premarin_YearsPX070401050000How many years in total did you take Premarin (exclude those periods when you temporarily stopped)?4Variable Mapping
PX070401_Premarin_Dose_GreenPX070401060100Five commonly used doses of Premarin can be distinguished by the color of the pill. Please indicate any you have ever used and the one you used for the longest period. Green (0.3 mg).4N/A
PX070401_Premarin_Dose_Brown_RedPX070401060200Five commonly used doses of Premarin can be distinguished by the color of the pill. Please indicate any you have ever used and the one you used for the longest period. Brown/Red (0.625 mg).4N/A
PX070401_Premarin_Dose_WhitePX070401060300Five commonly used doses of Premarin can be distinguished by the color of the pill. Please indicate any you have ever used and the one you used for the longest period. White (0.9 mg).4N/A
PX070401_Premarin_Dose_Yellow_OrangePX070401060400Five commonly used doses of Premarin can be distinguished by the color of the pill. Please indicate any you have ever used and the one you used for the longest period. Yellow/Orange (1.25 mg).4N/A
PX070401_Premarin_Dose_PurplePX070401060500Five commonly used doses of Premarin can be distinguished by the color of the pill. Please indicate any you have ever used and the one you used for the longest period. Purple (2.5 mg).4N/A
PX070401_Premarin_Dose_Longest_UsedPX070401060600Longest Used4N/A
PX070401_Ever_Estrogen_By_MouthPX070401070100Have you ever used estrogen other than Premarin pills? Estrogen by mouth?4Variable Mapping
PX070401_Ever_Estrogen_By_InjectionPX070401070200Have you ever used estrogen other than Premarin pills? Estrogen by injection?4N/A
PX070401_Ever_Estrogen_By_Patch_ImplantPX070401070300Have you ever used estrogen other than Premarin pills? Estrogen by patch or implant?4Variable Mapping
PX070401_Ever_Estrogen_By_Cream_SuppositoryPX070401070400Have you ever used estrogen other than Premarin pills? Estrogen vaginal cream or suppository?4Variable Mapping
PX070401_Estrogen_Except_Premarin_Age_FirstPX070401080000At what age did you first use estrogens other than Premarin pills?4N/A
PX070401_Estrogen_Except_Premarin_Age_LastPX070401090000At what age did you last use estrogens other than Premarin pills?4N/A
PX070401_Estrogen_Except_Premarin_YearsPX070401100000How many years in total did you take estrogens other than Premarin pills (exclude any time when you temporarily stopped)?4N/A
PX070401_Ever_Progesterone_ProgestinPX070401110000Sometimes another type of female hormone, progesterone (or "progestin"), is given for symptoms of menopause, either alone or in combination with estrogen. The most frequently used progestin is Provera (medroxyprogestoerone acetate). Have you ever used progesterone or a progestin?4Variable Mapping
PX070401_Progesterone_Progestin_Age_FirstPX070401120000At what age did you first take progesterone or a progestin?4N/A
PX070401_Progesterone_Progestin_Age_LastPX070401130000At what age did you last take progesterone or a progestin?4Variable Mapping
PX070401_Progesterone_Progestin_YearsPX070401140000How many years in total did you take progesterone or a progestin (excluding any time when you temporarily stopped)?4Variable Mapping
PX070401_Provera_DosePX070401150000If you used Provera, what was your usual dose?4N/A
PX070401_Progesterone_Progestin_DaysPX070401160000When using progestin or progesterone, for how many days each month would you usually take it?4Variable Mapping