Is Hormone Replacement Therapy for Menopause *Also* Good for Your Heart? It Could Come Down to Timing

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Discover the connection between HRT and heart disease, and how hormone replacement therapy may help maintain your heart health as you age.

ike many decisions regarding your health, the decision to start hormone replacement therapy for menopause is a very personal one. And likely one that's not easy to make. Personally, I debated back and forth for a while about whether or not I wanted to try out HRT, and turned to menopause support groups on social media for advice.

As women hit midlife and estrogen begins to decline , the risk of developing heart disease goes up notably—especially after age 55, according to a November 2020 study inWhich begs the question: Can replacing lost estrogen via HRT reduce your cardiovascular disease risk? Evidence so far points toward"yes," but as long as it's timed the right way., co-authored by Dr.

When a woman's natural stores of estrogen are diminished, the cardiovascular protections from that hormone are lost, too. This phenomenon was reflected in the landmark 1976 Framingham study in the, which found postmenopausal women between the ages of 40 and 54 have a two to six times greater incidence of cardiovascular disease than premenopausal women in the same group.can also pose risks to your heart.

Once you've passed the 10-year mark with menopause, you're likely too late to reap cardiovascular benefits from HRT ."The data show very effectively that starting HRT has no effect on atherosclerosis if you're more than 10 years past menopause," says Dr. Hodis."But if you start within six years, there's a highly significant reduction."

 

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