Abstract
Introduction: The climacteric and menopause can alter the quality of life of women, producing sequelae due to the increased risk of osteoporosis (OP) and ischemic cardiovascular disease. Objective: To determine the bone mineral density (BMD) in postmenopausal women treated with 17β-estradiol/Drospirenone attending in the Menopause and Gynecology consultations at the Hospital "Dr. Pedro García Clara " in Ciudad Ojeda, Zulia State. Methods: A comparative research with a case-control, non-experimental, and transactional design, where was studied the bony mineral density (BMD) at both the lumbar spine and femoral neck in 60 postmenopausal women, divided into two matched groups according if received (cases) or not (controls), 17β-estradiol/Drosperinone as hormone replacement therapy (HRT). Results: It was found that women using this HRT had a very significant (p <0.001) both improved BMD as better scores on the indices T projections at lumbar spine and femoral neck when compared with those who don´t received hormonal treatment, which resulted in a lower prevalence of Osteoporosis (6.67% vs. 30.00%) and osteopenia (13.33% vs. 46.67%), having the non-users of hormone therapy a significant risk (p <0.05) of 6 times more likely to have some change in BMD. Conclusion: The use of 17β estradiol HRT in postmenopausal women represented a protective factor for developing Osteoporosis or Osteopenia.
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