Hypertension And Reproduction

    March 2020 in “ Current Hypertension Reports
    Peter M. Nilsson, Margus Viigimaa, Aleksander Giwercman, Renata Cífková
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    This review examined the interplay between reproductive factors and hypertension, noting that events like impaired fetal growth and low birth weight were linked to adult hypertension. Erectile dysfunction was an early cardiovascular disease marker, often coexisting with hypertension. Male hypogonadism and subfertility increased cardiovascular risk, while in women, hypertensive disorders during pregnancy, such as preeclampsia, were significant health concerns. Assisted reproductive technologies and contraceptive use were associated with increased hypertension risk. The review highlighted the need for careful antihypertensive treatment selection during pregnancy to avoid adverse fetal effects. It also discussed the impact of hypertension on reproductive health, noting that tight control of hypertension in pregnancy reduced severe maternal hypertension but did not affect adverse perinatal outcomes. The document emphasized the importance of understanding these associations to improve cardiovascular disease prediction and management.
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