“Some studies suggest that HT might be good for your heart if you start before age 60 or within 10 years of menopause. However, if you start HT further from menopause…”.¹

Umbrella

What may the Hormone Therapy, Heart Disease and Stroke Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

Cardiovascular Diseases

What are cardiovascular diseases (CVDs)?

DotS the definition of CVDs may vary. The World Health Organization’s definition is:

Type

What can it be important to be clear about with hormone therapy (HT), heart disease and stroke information?

It can be important to be clear about the type of HT – Estrogen Plus Progestogen HT or Estrogen Therapy.

Younger Than Age 60 or Not

What can it also be important to be clear about with HT, heart disease and stroke information?

It can also be important to be clear about whether HT, heart disease and stroke information is about women “younger than age 60 years or within 10 years of menopause”.

Younger Than Age 60

For women younger than age 60 or within 10 years of menopause, what is the association between HT and heart disease and stroke?

On page one in Deciding About Hormone Therapy: Potential Risks, published February 2025, the Menopause Society (formerly the North American Menopause Society) explain:

“As with all medications, HT is associated with some potential risks. For healthy women with bothersome hot flashes aged younger than 60 years or within 10 years of menopause, the benefits of HT generally outweigh the risks. Hormone therapy might slightly increase your risk of stroke or blood clots in the legs or lungs (especially if taken in pill form)”.³

After Age 60

For women after age 60 or further than 10 years from menopause, what is the association between HT, heart disease and stroke?

On page one in Deciding About Hormone Therapy: Potential Risks, the Menopause Society also include:

“Some studies suggest that HT might be good for your heart if you start before age 60 or within 10 years of menopause. However, if you start HT further from menopause or after age 60, HT might slightly increase your risk of heart disease. Although there are risks associated with taking HT, they are not common, and most go away after you stop treatment”.⁴

The Women’s Health Initiative Randomized Trials and Clinical Practice

What do the Women’s Health Initiative Randomized Trials and Clinical Practice: A Review, note about HT for postmenopausal women to prevent cardiovascular disease or other chronic diseases?

In the Conclusions and Relevance in The Women’s Health Initiative Randomized Trials and Clinical Practice: A Review – Abstract, published 01 May 2024, the authors note:

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U.S. Preventative Services Task Force

In 2022, what did the (United States) U.S. Preventative Services Task Force (USPSTF) note in their final recommendations about the use of HT for the primary prevention of chronic conditions in postmenopausal persons?

In Hormone Therapy In Postmenopausal Persons: Primary Prevention of Chronic Conditions, published 01 November 2022, the USPSTF’s recommendations include:

“Postmenopausal persons
The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal persons”.⁶

In Hormone Therapy In Postmenopausal Persons: Primary Prevention of Chronic Conditions, published 01 November 2022, the USPSTF’s recommendations also include:

Health Care Provider

What if I choose to use HT and would like to lower my risk of heart disease and/or stroke?

If you would like to choose to use HT and lower your risk of heart disease and/or stroke, it may be in your best interest to also choose to talk to your health care provider about this. Together you can discuss your options and if required, agree on who may be the most appropriate health care provider to help you.

Health Topics A-Z

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Links

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Sources

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