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Abstract
Objectives: The aim of the study was to obtain information on the possible relationship between
impaired ovarian function and risk factors for cardiovascular disease. Material and methods: Serum lipid levels, plasma fibrinolytic potential and histological and biochemical
changes in the intima of the uterine artery were investigated in premenopausal women
with irregular menstrual cycles, and the results were compared with those from regularly
menstruating women. In addition, the same parameters were studied in postmenopausal
women on hormone replacement therapy (HRT) and in postmenopausal women who had never
used HRT. In total 64 patients undergoing hysterectomy for benign reasons were included
the study. Results: Plasma fibrinogen concentration was significantly higher in irregularly menstruating
women as compared with women with regular cycles. In women with irregular cycles thickened
or sclerotic arterial intima was a significantly more common finding as compared with
regularly menstruating women. A significant positive correlation was observed between
plasma fibrinogen concentration and intimal esterified cholesterol content in women
with thickened or sclerotic uterine artery. Conclusions: These data suggest an important role for normal ovarian function in the prevention
of atherosclerosis.
Keywords
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Article info
Publication history
Accepted:
March 27,
1997
Received in revised form:
March 17,
1997
Received:
June 17,
1996
Identification
Copyright
© 1997 Published by Elsevier Inc.