Menopause and your heart

Understand how the hormone changes that occur with menopause can impact risk factors for heart health.

Menopause happens when your period permanently stops, meaning you’ve gone at least 12 months in a row with no period. Menopause typically occurs around age 50 and presents a wide range of symptoms and changes in the female body.1 Symptoms of menopause and perimenopause (the years leading up to menopause) include hot flashes, trouble sleeping, and changes in mood, among various others. During menopause your hormone levels change, which may have an impact on your overall health, including your heart.

It’s important to keep in mind that menopause is a natural and normal phase of life, and that the risk of heart disease rises with age for everyone. When it comes to your heart, menopause does not cause cardiovascular disease, but it may increase risk factors or make them more obvious.2

Cardiovascular disease risk factors affected by menopause

Although menopause does not cause heart health issues, health and hormone changes brought on by menopause can increase risk factors for heart disease.

  • High blood pressure
    Menopause causes a drop in the hormone estrogen. When this drop occurs, your heart and blood vessels drop in elasticity as well, becoming stiffer. This stiffness can increase blood pressure, which adds strain on the heart.3
  • High cholesterol
    When your good cholesterol (HDL) is low and your bad cholesterol (LDL) is high, your risk of heart disease and heart attack rises. A drop in estrogen levels can cause these imbalances as well as a rise in triglycerides, another type of fat in the blood.3
  • Weight gain
    Another function of the hormone estrogen is determining where the body stores fat and how fat is burned. With less estrogen, many people experience a slower metabolism and easier weight gain, which can lead to a higher risk of heart disease.3
  • Diabetes
    Some of the hormone changes associated with menopause can make you less responsive to insulin. Insulin helps you convert blood sugar into energy, and without it properly functioning, the likelihood of developing diabetes or prediabetes can increase. Having diabetes can increase the risk of heart disease.3

Managing your risk factors

You can lower your risk of heart disease as you age by incorporating heart-healthy lifestyle habits into your routine. Exercising regularly and eating a diet rich in fruits, vegetables, and high-fiber grains can go a long way in helping you prevent or manage heart disease. It’s also important to eliminate unhealthy habits, like smoking or eating a diet that’s high in sugar and salt.

Those who undergo early menopause (before the age of 40) may face a higher risk of cardiovascular disease later on.1 If you experienced menopause early or have been diagnosed with a heart condition, monitoring your heart health and keeping regular communication with your doctor is an important aspect of staying healthy and proactive. You can keep track of your heart rhythm using a KardiaMobile personal EKG, which allows you to generate reports that you can share with your doctor.

For specific guidance and action items for managing your heart health risk factors after menopause, talk with your doctor.