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Menstruation and Cardiovascular Vulnerability

Menstruation and Cardiovascular Vulnerability In their commentary, Kannel and Levy1 thoroughly describe studies of the relationship between hormones, menopause, and CHD. They noted that CHD rises substantially after menopause, whether surgical or natural, and whether the ovaries were removed or not. What accounted for the low incidence of CHD before menopause remained unclear. They did not discuss whether menstrual blood loss could explain the finding. I believe that menstrual blood loss alone could explain the protection against CHD in premenopausal women. Possible mechanisms include lowered blood viscosity, lowered blood pressure, lowered coagulopathy, or reduced body iron. Correspondence: Dr Terplan, Department of Medicine, University of California, San Francisco, 490 Post St, San Francisco, CA 94102 (elizterp@yahoo.com). References 1. Kannel WBLevy D Menopause, hormones, and cardiovascular vulnerability in women. Arch Intern Med 2004;164479- 481PubMedGoogle ScholarCrossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Menstruation and Cardiovascular Vulnerability

Archives of Internal Medicine , Volume 165 (1) – Jan 10, 2005

Menstruation and Cardiovascular Vulnerability

Abstract

In their commentary, Kannel and Levy1 thoroughly describe studies of the relationship between hormones, menopause, and CHD. They noted that CHD rises substantially after menopause, whether surgical or natural, and whether the ovaries were removed or not. What accounted for the low incidence of CHD before menopause remained unclear. They did not discuss whether menstrual blood loss could explain the finding. I believe that menstrual blood loss alone could explain the protection against CHD in...
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Publisher
American Medical Association
Copyright
Copyright © 2005 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.165.1.120-b
Publisher site
See Article on Publisher Site

Abstract

In their commentary, Kannel and Levy1 thoroughly describe studies of the relationship between hormones, menopause, and CHD. They noted that CHD rises substantially after menopause, whether surgical or natural, and whether the ovaries were removed or not. What accounted for the low incidence of CHD before menopause remained unclear. They did not discuss whether menstrual blood loss could explain the finding. I believe that menstrual blood loss alone could explain the protection against CHD in premenopausal women. Possible mechanisms include lowered blood viscosity, lowered blood pressure, lowered coagulopathy, or reduced body iron. Correspondence: Dr Terplan, Department of Medicine, University of California, San Francisco, 490 Post St, San Francisco, CA 94102 (elizterp@yahoo.com). References 1. Kannel WBLevy D Menopause, hormones, and cardiovascular vulnerability in women. Arch Intern Med 2004;164479- 481PubMedGoogle ScholarCrossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jan 10, 2005

Keywords: cardiovascular system,menstruation,emotional vulnerability

References