How do pre-existing, chronic conditions affect those experiencing menopause?

Dr. J. Scott Bembry discusses why menopause may exacerbate conditions like osteoporosis and heart problems. Click play to watch the video or read the transcript.


If you have muscular or skeletal complains such as osteoporosis, those can be exacerbated by a lack of estrogen.

Heart conditions can also be affected. Cardiovascular changes occur during menopause. There can be adverse lipid changes. One of the benefits of hormone replacement therapy is that it can lessen those lipid changes, causing an increase in HDL and lowering the LDL.

If started late, hormone replacement therapy can increase your risk for an adverse cardiac event, because of the increased risk of clot formation. It’s something that you should discuss with your doctor if you have an underlying cardiac problem. You should talk with your gynecologist or family doctor or cardiologist to find out if hormone therapy is in your best interest. There are some patients with some cardiac problems that probably should not be started on hormone replacement therapy.

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