The Impact of Menopausal Hormone Therapy on Liver and Biliary Tract Health

Aim: to provide summarized data on the relationship between menopausal hormone therapy (MHT) and liver health.Key points. A decrease in estrogen production during the menopausal transition and a deficiency of estrogen and progesterone during postmenopause significantly affect lipid and carbohydrate...

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Main Authors: A. O. Bueverov, N. I. Tapilskaya
Format: Article
Language:Russian
Published: Gastro LLC 2025-08-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1712
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author A. O. Bueverov
N. I. Tapilskaya
author_facet A. O. Bueverov
N. I. Tapilskaya
author_sort A. O. Bueverov
collection DOAJ
description Aim: to provide summarized data on the relationship between menopausal hormone therapy (MHT) and liver health.Key points. A decrease in estrogen production during the menopausal transition and a deficiency of estrogen and progesterone during postmenopause significantly affect lipid and carbohydrate metabolism and can lead to impaired liver function. With age, the risk of developing metabolic-associated fatty liver disease (MAFLD) in women increases significantly, due to a combination of hormonal changes, a higher incidence of metabolic disorders, and age-related factors. In turn, MAFLD is associated with an increased risk of cardiovascular disease, diabetes mellitus and metabolic disorders. In the absence of well-timed hormonal support, postmenopausal women are at high risk of developing serious complications, therefore, it is extremely important to select MHT with a favorable efficacy and safety profile. The approach to prescribing MHT should take into account the patient’s medical history, individual characteristics, as well as the mode of drug administration, considering the minimum effective dose.Conclusion. Oral combination MHT provides positive metabolic effects through the first-pass metabolism but is not associated with additional health risks.
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spelling doaj-art-09bc970acfe449da81135a23c95fc2702025-08-20T04:02:42ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732025-08-0135310411310.22416/1382-4376-2025-35-3-104-1131221The Impact of Menopausal Hormone Therapy on Liver and Biliary Tract HealthA. O. Bueverov0N. I. Tapilskaya1Moscow Regional Research Clinical Institute named after M.F. Vladimirsky (MONIKI)Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott; Saint Petersburg State Pediatric Medical UniversityAim: to provide summarized data on the relationship between menopausal hormone therapy (MHT) and liver health.Key points. A decrease in estrogen production during the menopausal transition and a deficiency of estrogen and progesterone during postmenopause significantly affect lipid and carbohydrate metabolism and can lead to impaired liver function. With age, the risk of developing metabolic-associated fatty liver disease (MAFLD) in women increases significantly, due to a combination of hormonal changes, a higher incidence of metabolic disorders, and age-related factors. In turn, MAFLD is associated with an increased risk of cardiovascular disease, diabetes mellitus and metabolic disorders. In the absence of well-timed hormonal support, postmenopausal women are at high risk of developing serious complications, therefore, it is extremely important to select MHT with a favorable efficacy and safety profile. The approach to prescribing MHT should take into account the patient’s medical history, individual characteristics, as well as the mode of drug administration, considering the minimum effective dose.Conclusion. Oral combination MHT provides positive metabolic effects through the first-pass metabolism but is not associated with additional health risks.https://www.gastro-j.ru/jour/article/view/1712estrogen deficiencymetabolic-associated fatty liver diseasecholelithiasislipid profilemenopausal hormone therapy
spellingShingle A. O. Bueverov
N. I. Tapilskaya
The Impact of Menopausal Hormone Therapy on Liver and Biliary Tract Health
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
estrogen deficiency
metabolic-associated fatty liver disease
cholelithiasis
lipid profile
menopausal hormone therapy
title The Impact of Menopausal Hormone Therapy on Liver and Biliary Tract Health
title_full The Impact of Menopausal Hormone Therapy on Liver and Biliary Tract Health
title_fullStr The Impact of Menopausal Hormone Therapy on Liver and Biliary Tract Health
title_full_unstemmed The Impact of Menopausal Hormone Therapy on Liver and Biliary Tract Health
title_short The Impact of Menopausal Hormone Therapy on Liver and Biliary Tract Health
title_sort impact of menopausal hormone therapy on liver and biliary tract health
topic estrogen deficiency
metabolic-associated fatty liver disease
cholelithiasis
lipid profile
menopausal hormone therapy
url https://www.gastro-j.ru/jour/article/view/1712
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