WOMENS-HEALTH Messages for August, 2000: Re: ' High Blood Pressure and Menopause'

Re: ' High Blood Pressure and Menopause'

From: chris (anonymous@obgyn.net)
Thu, 24 Aug 2000 12:22:09 -0500 (CDT)

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In reply to: Lynn D. Montgomery, MD: "Re: ' High Blood Pressure and Menopause'"

At Wed, 23 Aug 2000, Lynn D. Montgomery, MD wrote: >
>At Wed, 23 Aug 2000, Pacha wrote:
>>
>>Can HRT or rather ortho prefast hormone replacement cause high blood
>>pressure. My doctor says no, but last year prior to beginning the low
>>estrogen pills then patches then
>>ortho prefast HRT I was at 110/70 and then in the fall 120/80 since then
>>I began the medication and my blood pressure went up.
>>Thanks
>
>Pacha,
>There is no question that estrogen therapy can make the blood pressure
>go up in some women. This is not a reason to not take the estrogen, but
>rather a reason to get the blood pressure controlled so that you can
>safely take the estrogen. The cardiovascular risk of not taking the
>estrogen is far greater than the cardiovascular risk of the blood
>pressure it may cause, especially when controlled appropriately...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>

Hi!

I recently went to a lecture given by a cardiologist and he said that very woman who can, should take estrogen after menopause, but for all the other reasons other than cardiovascular. He felt that there were better approaches to the cardiac benefits of estrogen. I was surprised to hear him say this. I have been following my blood lipids for 2 years. My HDL has gotten as low as 26 at some points and it seems when I manage to raise it a bit, I also raise everything else with it. At the end of May I started taking .625mg estratab daily for menopausal symptoms and six weeks later had my total cholesteral and HDL levels checked. My total cholesterol went from 231 (in Feb '00 with an HDL of 43) to 271 with an HDL of 58. Several doctors have told me that yes, estrogen can raise the HDL that quickly. So it would appear that estrogen was beneficial in my case, as far as the HDL goes because no amount of diet and exercise over a 2 year period got it up that high. It will be interesting to see what happens when I go on one of the statin drugs, as the ratio is still too high.

Chris S.

Next message: chris: "Update on ERT and bone density post Lupron"
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In reply to: Lynn D. Montgomery, MD: "Re: ' High Blood Pressure and Menopause'"

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