Gynecologic Health

Premier Health providers answer frequently asked questions about prevention and wellness for women.

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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    Source: Rashmi Bolinjkar, MD, Upper Valley Womens Center; Jeremy Crouch, MD, Womens Health Specialists and Midwives of Dayton; Heather Hilkowitz, MD, Hilltop Obstetrics and Gynecology; Amanda Fox, CNP, Dulan and Moore Dulan Family Wellness Center; Kathryn Lorenz, MD, Hyatt Family Care; William Rush, MD, Lifestages Samaritan Centers for Women; Jerome Yaklic, MD, Wright State Physicians Obstetrics and Gynecology; Mansi Amin, DO, SureCare Medical Center; Amy Renshaw, MD, Center for Womens Health and Wellness; J. Scott Bembry, Premier OB/GYN; L. William Rettig, III, MD,Lifestages Centers for Women; Elyse Weber, PA, Lifestages Centers for Women; Rhonda Washington, MD, Center for Womens Health and Wellness; Stacy Hudepohl, CNM, Center for Womens Health and Wellness; Larry Holland, DO, Premier Womens Center

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