Menopause Management in Women with Cardiovascular Disease

Guest: Chrisandra Shufelt, M.D. Host: Marysia Tweet, M.D., M.S. Listeners of this episode of “Interviews with the Experts” will gain a practical, evidence-based framework for managing menopausal symptoms in women with cardiovascular disease or elevated CVD risk. Through discussion of patient selection, menopause-specific cardiovascular risk factors, and the evolving data on hormone therapy. Listeners will leave better equipped to individualize care and counsel patients with confidence. Topics Discussed: • Treatment for menopause symptoms in women with risk factors for CVD • Appropriate candidates for hormone therapy • Which cardiovascular risk factors are attributable to ovarian aging (menopause) versus chronological aging? • What does the current evidence show regarding claims that menopausal hormone therapy prevents cardiovascular disease? • How might the FDA’s removal of the black box warning from menopausal hormone therapy labeling affect clinician prescribing practices and patient decision-making? 0:00 Introduction to Menorrhagia Management 2:49 Causes of Heavy Menstrual Bleeding 4:44 Anticoagulant Choices and Bleeding Risk 5:56 Managing Bleeding on Long-Term Anticoagulation 8:54 Non-Hormonal Treatment Options 10:52 Pregnancy Considerations After Endometrial Ablation 11:37 Hysterectomy Risks and Cardiovascular Disease 13:12 Hysterectomy Considerations After Menopause 14:46 Ovary Preservation During Hysterectomy 16:11 Key Takeaways for Clinicians 16:49 Closing and Related Podcast Series 17:15 Cardiovascular Education Resources