Comorbid conditions in menopause: principles of care of patients with cardiovascular diseases and selection of menopausal hormone therapy
S.F. SUBKHANKULOVA1, R.I. GABIDULLINА2, A.O. POZDNYAK1
1Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan
2Kazan State Medical University, Kazan
Contact details:
Subkhankulova S.F. — PhD (Medicine), Associate Professor of the Department of Therapy, Geriatrics and Family Medicine
Address: 36 Butlerov St., 420012 Kazan, Russian Federation, tel.: +7-917-259-86-14, e-mail: sfs-kazan@yandex.ru
With the increase in the number of women of mature and elderly age, the question arises of maintaining health and quality of life during menopause. Although menopause is a physiological phenomenon, most women develop menopausal syndrome, which significantly worsens their overall well-being. The most effective method of treating menopausal syndrome is MHT — menopausal hormone therapy, which is most advisable to start during the menopausal transition and early menopause. However, the use of MHT can provoke thromboembolic and oncological complications. Therefore, a personalized approach to each patient is the most effective, taking into account the category of MHT acceptability by age and the presence of extragenital diseases.
Key words: menopause, metabolic syndrome, cardiovascular diseases, menopausal hormone therapy.
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