Daily Tribune (Philippines)

Menopause brings higher risks of CVDs — PHA

Prevention is the key, so why wait until you’re menopausal before you get checked?

- BY GABRIELA BARON

The risk of cardiovasc­ular diseases, or CVDs, increases during the menopausal stage of women, according to the Philippine Heart Associatio­n.

In an online media forum, Dr. Aileen Cynthia de Lara, immediate past chair of the PHA Council on Cardiovasc­ular Health, urged women nearing the menopausal stage to seek medical checkups.

“Prevention is the key, so why wait until you’re menopausal before you get checked? We get a lot of patients that feel cardiac-related symptoms, but it is actually a perimenopa­usal period,” De Lara said.

“This is the time to do all the lab tests work, give them advice on diet, so that whten they enter menopause, they are prepared. There’s always some resistance, but you need to explain that these are stages that they need to go through,” she added.

Dr. Josephine Almaria, an ob-gyne from Cardinal Santos Medical Center, also echoed de Lara’s statement. “You don’t have to feel something to go to your doctor. We want to empower people to be preventive and proactive,” Almaria said.

“As for doctors, we should not be complacent, we need to educate them on things like when they approach menopause. We need to make each visit preemptive for them,” she added.

Osteoporos­is, stroke risk

According to Almaria, cardiovasc­ular diseases increase at 40 years old, thus overall health tests like blood chemistry and thyroid have to be done.

She also noted that estrogen and progestero­ne levels start to fluctuate at that age, so trips to obstetrici­angy-necologist­s are a must.

“The risk for osteoporos­is and stroke, metabolic syndrome all goes up. We have also seen blood pressure and blood sugar increase. There’s a risk of heart disease when hitting menopause because the veins harden with age; the flexibilit­y decreases,” Almaria explained.

“We also see that because the pressure increases, there is a higher risk of blockage in the vein. The bad cholestero­l in the vein cannot be cleaned thoroughly. Women’s risk is really different when they go through menopause,” she added.

To counter the risks, De Lara pushed the 52100 advocacy, which is consuming five fruits and vegetables and two grams of sodium, as well as doing one hour of exercise daily.

She also suggested that women undergo an electrocar­diogram to see the heart’s status, as well as laboratory tests for lipid profiles.

“Diet isn’t the only risk factor to control; while it is great that you live healthily, you need to get checked,” she said.

“Even with diet and exercise, you should still see your doctor. Maybe you inherited something from your family that is not good. Even with diet and exercise, you should still see your doctor,” she added.

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