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Research suggests hot flashes may be associated with high blood pressure during pregnancy

 


A study published in the journal Menopause on Wednesday also suggests that women with a history of high blood pressure during pregnancy who use hormone therapy are more likely to report nasty symptoms than women without such a history. doing.

Overall, both hypertension and severe menopausal symptoms during pregnancy are risk factors for cardiovascular disease in women, director Dr. Stephanie Forbion said. Mayo Clinic Center for Women’s Health Dean of Medicine at the North American Menopause Society.

But just because they are linked does not mean that one actually causes the other.

“There is no increase in hot flashes in women due to hypertensive disorders of pregnancy, and hot flashes do not cause heart disease,” said Forbion, who is working on the study.

“But both seem to be markers of heart disease. I think we have picked up the fact that they are related and that women who have one are more likely to have the other “Forbion added. Heart disease Main cause of death For American women.

“We are beginning to understand that women have these unique things that women can be classified into different categories of heart disease risk. Two of them appear to be linked to each other “It’s certainly an interesting discovery,” he added, “we know that hormone therapy reduces or eliminates hot flashes. I don’t know if it improves risk.”

Hypertension and menopausal symptoms during pregnancy

A new study reported that men and women approached menopause during their visits to the Mayo Clinic Women’s Health Campus in Rochester, MN and Scottsdale, AZ, between 2015 and 2019, at ages 40 to 65. Data from the medical records of 2,684 women were included.

Mayo researchers analyzed the data and looked closely at each woman’s pregnancy history and menopausal symptoms.

Menopause: Questions that women think but don't ask

They found that 18.7% of women who had never been pregnant and nearly 20% of women who had no history of hypertension during pregnancy reported having hot or very hot flashes.

Also, over 23% of women with a history of high blood pressure during pregnancy complained of severe or very severe hot flashes.

Researchers have found that 7.8% of women using hormone replacement therapy without a pregnancy history reported severe or very severe hot flashes. Of the women on HRT, 13.8% of those who did not have high blood pressure during pregnancy had hot flashes.

However, women who had HRT and had high blood pressure during pregnancy had the highest risk of severe hot flashes, at 27%.

“I thought hot flashes were temporary and benign… neither was that.”

Most women in the study were Caucasian, employed and had partners. Further research is needed to determine if similar findings appear in a more diverse group of women. In addition, some information on the history and symptoms of menopause in pregnant hypertensive women was self-reported and was subject to recall bias.

Despite the need for more research, Forbion said new discoveries could help clarify what serious menopausal symptoms mean for some women.

“Women spending a lot of time during menopause with lots of hot flashes need to say, “What do you know-is this just a nuisance?”, says Forbion. Said.

“We thought that hot flashes were temporary and benign, but now we find that neither is the case,” she said. “Hot flashes last an average of 7-9 years, one-third of women last more than 10 years. We also know that they are less harmful and carry some risk.”

This is not the first time an association has been found between hypertension during pregnancy and certain menopausal symptoms.

One study published in Menopause in 2013, Those with a history of high blood pressure during pregnancy found among Dutch women reported significantly more frequently vascular-related menopausal symptoms than women without a history of high blood pressure during pregnancy.

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