Hypertension in women after menopause

Menopause coincides with on increase in the incidence of hypertension in women. A direct role of estrogen deprivation in this increased blood pressure remains a topic of debate. Menopause probably accelerates the arterial changes related to aging. Hormone replacement therapy does not influence blood pressure significantly and is not contraindicated in hypertensive women. The effect of hormone replacement treatment on cardiovascular risk was recently the object of controversy It does not increase risk except in cases of late treatment in older women who already hove atherosclerosis. Hypertension management in women is otherwise similar to management in men.