Hormone Health Hub: Expert Insights on Testing, Balance & Better Living — menopause and healthy circulation

Cardiovascular disease is the leading cause of death in women, and the risk dramatically increases with menopause as estrogen levels decline. In this in-depth clinical article, Dr. Sherry LaBeck of ZRT Laboratory explains how estrogen protects the cardiovascular system through nitric oxide production, endothelial function, blood lipid regulation and anti-inflammatory mechanisms — and why the timing of estrogen replacement therapy is critical to its cardioprotective effect.

The Women’s Health Initiative (WHI) trial cast a long shadow over hormone replacement therapy — but it enrolled women well over a decade past menopause. Two newer trials, ELITE and KEEPS, specifically studied HRT started early in the postmenopausal period. Their findings on cardiovascular health, sexual function, sleep, mood and cognition paint a more nuanced and encouraging picture. Here is what the latest research shows.