It has been shown that prolonged amenorrhoea is associated with reduction in bone mineral density.0601 This reduction is directly related to the duration of amenorrhoea. Oestrogen replacement can restore a significant amount of bone mass. An early menopause increases the risk of coronary heart disease which may be countered by hormone replacement (Chapter 27).

Smoking, poor quality diet, lack of exercise and abnormal weight (excess or reduced) are additional risk factors for ill health in later life and appropriate measures to counter these are to be particularly recommended for those who have prolonged amenorrhoea.


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