Bone and CVS health
- 28 Nov 2023
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Bone and CVS health
- Updated on 28 Nov 2023
- 1 Minute to read
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BONE HEALTH
- Women should be given information and advice on how to optimise their bone health.
- HRT is the preferred choice of treatment for the prevention and management of osteoporosis in women with POI, and bisphosphonates should not be first line treatment in this age group.
- Bisphosphonates can remain incorporated in bone matrix for a long period of time, and there is limited evidence assessing the long-term reproductive implications associated with their use. Caution should therefore be taken with their use in women of the reproductive age group.
- For information on monitoring bone health in women with POI, see assessment section.
CARDIOVASCULAR HEALTH
- Women should be given information on how to optimise their cardiovascular (CVS) health.
- For information on monitoring CVS health see assessment section.
NOTE:
- Fracture risk assessment tools, such as FRAX, are not validated for women under 40 years.
References and Further Information:
- Panay N, Anderson A, Nappi R et al. Premature ovarian insufficiency: an international society white paper. Climacteric 2020.
- The ESHRE Guideline group on POI. ESHRE Guideline: management of women with premature ovarian insufficiency. Human Reproduction 2016. Found on page 929.
- Premature ovarian insufficiency. Summary consensus statement. British Menopause Society. 2020.
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