a friend of mine is suffering from high blood pressure after the menopause. can !


Question: A friend of mine is suffering from high blood pressure after the menopause. can hysterectomy reduce HTN issue?
Before menopause she had increase of hot flashes. she went to the doctor who gave her some medication, after that she says that her blood pressure problem started. Then she was given thiazides which didn't effect and cause increase thyroid problem, she stopped that. Then she had an angiogram done which shown 80% PDA, 30 and 50 % coronaries blockage. cardiologist said that we will give plavix and metoprolol which she stopped just plavix now after 3 years because the internist said that she doesn't need plavix because she didn't get stent. she is still on metoprolol, lipitor and having high blood pressure issue. If her ovaries are taken off, could that effect on her blood pressure. if not, then what other solution she has available she is 57 now. also is blood pressure problem is normal after menopause? please let me know. thanks

Answers:

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Ovary removal won't help her blood pressure, and may make things worse.

Blood pressure problems aren't normal after menopause, but they are common as you get older. And if you're on the way to having cardiovascular problems, then they tend to show up after menopause. And this is not because the ovaries are present, but because the ovaries have stopped working much.



The first thing I'd say is to not stop a blood thinner prescribed by one doctor (especially a cardiologist) on the advice of another. The last step to most heart attacks is blood clot formation. She needs one doctor (the cardiologist) in charge of her care.

A total hysterectomy won't solve her problems. Exercise and diet are the best things she can add to her treatment regimen. If her blood pressure remains a problem she and her doctors need to explore her medications (there are many for controlling blood pressure). If her pressure can't be controlled, they should look at her circulating adrenaline levels.

There isn't a magic bullet for hypertension, and it can be catastrophic. Encourage your friend to make healthy lifestyle choices and to check her pressure regularly.




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