Premature menopause (before age 40 years) is associated with an increased risk of cardiovascular disease.[38]The North American Menopause Society Advisory Panel. The 2022 hormone therapy position statement of The North American Menopause Society. Menopause. 2022 Jul 1;29(7):767-94.
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[64]Wenger NK, Lloyd-Jones DM, Elkind MSV, et al. Call to action for cardiovascular disease in women: epidemiology, awareness, access, and delivery of equitable health care: a presidential advisory from the American Heart Association. Circulation. 2022 Jun 7;145(23):e1059-71.
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[65]O'Kelly AC, Michos ED, Shufelt CL, et al. Pregnancy and reproductive risk factors for cardiovascular disease in women. Circ Res. 2022 Feb 18;130(4):652-72.
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The earlier the onset of POF, the stronger the association with cardiovascular complications (mainly due to coronary artery disease and stroke). One study documented mortality rates that are twice as high in women with POF, a fact that persisted even with estrogen supplementation.[6]Shuster LT, Gostout BS, Grossardt BR, et al. Prophylactic oophorectomy in premenopausal women and long-term health - a review. Menopause Int. 2008 Sep;14(3):111-6.
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