Cardiovascular disease (CVD) is the leading cause of death among women, killing 1 in 3 women worldwide and 1 in 4 in the US. Several risk factors for CVD are unique to women, and the risk of CVD increases markedly after ovarian function stops at menopause. Other risk factors for CVD–including genetics, lifestyle, and environmental conditions–should also be taken into consideration. While some risk factors cannot be changed, others can be altered through lifestyle changes or treatment of certain medical conditions. Frequently asked questions about heart health and how it relates specifically to women are highlighted below.
Several risk factors for CVD are unique to women throughout their reproductive lives and include the following:
it is important to note that generally estrogen does a lot of good for your cardiovascular system. It can:
Evidence shows that estrogen may play a protective role in young women. Premenopausal women rarely develop coronary artery disease. And, after menopause, your risk for heart disease increases dramatically. That’s because your heart becomes quite vulnerable when your ovaries stop making estrogen, especially if you have other heart disease risk factors, such as diabetes, smoking and obesity. This is why it is not recommended that women have their ovaries removed prior to 50 years old unless medically necessary.
However, giving women prescribed hormone replacement therapy has not been shown to be helpful to prevent these changes once women go through menopause. In fact, in some women this could actually be harmful. It is important to have an individualized conversation with your health care provider about the benefits and risks of hormone replacement.
While the use of HRT and its ability to reduce CVD risk in menopausal women many still be controversial, there are some conclusive ways to reduce your risk of heart disease during and after menopause. They will likely sound familiar as they are good advice for anyone at any age!
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At Reply we do preventive visits that can help you understand your risk of CVD, and offer health coaching for patients who are exploring lifestyle modifications to treat risk factors for CVD. If you wish to schedule an appointment with one of our providers, please contact us at
919.230.2100.
Portions of this post have been excerpted from The American College of Obstetricians and Gynecologists (ACOG). and from the Cleveland Clinic’s speakingofwomenshealth.com.
Call 919.230.2100 to schedule your free consultation
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