Menopause is a natural stage in a woman’s life, but it brings significant changes that can impact your health, especially your heart. As oestrogen levels decline, your risk of cardiovascular disease increases. The good news? Research shows that Hormone Replacement Therapy (HRT) can not only ease menopausal symptoms but also offer some heart protection. Let’s explore how menopause affects heart health and how HRT could be a game-changer.
Why Does Heart Risk Increase After Menopause?
Before perimenopause, women generally have a lower risk of heart disease compared to men. This is partly due to the protective effects of oestrogen, which helps keep blood vessels flexible and supports healthy cholesterol levels. However, as oestrogen levels drop during menopause, several changes occur:
Increased cholesterol: Oestrogen helps regulate LDL (bad cholesterol) and HDL (good cholesterol). After menopause, LDL levels often rise, while HDL levels fall, increasing the risk of plaque buildup in arteries.
Higher blood pressure: Declining oestrogen can lead to stiffer blood vessels, raising blood pressure, a major risk factor for heart disease.
Weight gain: Many women notice weight gain, particularly around the abdomen, during perimenopause. This visceral fat is linked to higher heart risks.
Metabolic changes: Menopause can affect how your body processes sugar and fat, increasing the risk of type 2 diabetes, which is closely tied to heart disease.
These changes mean that postmenopausal women are at a higher risk of heart attacks, strokes, and other cardiovascular issues. But there’s hope HRT can play a protective role.
How HRT Supports Heart Health
HRT has been a topic of debate over the years, but recent studies have shed light on its real benefits for heart health, particularly when started early in menopause (within 10 years of your last period or before the age of 60) and there are indications that the early it is started in perimenopause, the more protection the heart is given. Here’s how HRT can help:
Improves cholesterol levels: HRT can help balance LDL and HDL cholesterol, reducing the risk of artery blockages.
Maintains blood vessel flexibility: Oestrogen in HRT helps keep blood vessels elastic, promoting healthy blood flow and reducing blood pressure.
Reduces visceral fat: Some studies suggest HRT can help prevent the accumulation of harmful abdominal fat.
Lowers inflammation: Oestrogen has anti-inflammatory properties, which can protect against heart disease.
Pro Tip: “Starting HRT early in menopause can maximise its heart-protective benefits. If you’re considering HRT, don’t wait speak to a specialist to explore your options.”
Lifestyle Tips to Support Heart Health During Menopause
While HRT can be a powerful tool, it’s not the only way to protect your heart. Here are some actionable steps you can take:
Eat a heart-healthy diet: Focus on whole foods like fruits, vegetables, whole grains, lean proteins, and healthy fats. Reduce processed foods, sugar, and saturated fats.
Stay active: Regular exercise, such as brisk walking, swimming, or pilates, can help maintain a healthy weight, lower blood pressure, and reduce stress.
Quit smoking: Smoking is a major risk factor for heart disease. If you smoke, seek support to quit.
Manage stress: Chronic stress can take a toll on your heart. Practice mindfulness, meditation, or deep breathing exercises.
Get regular check-ups: Monitor your blood pressure, cholesterol, and blood sugar levels regularly.
How Womankind Can Help
At Womankind, I understand the challenges menopause can bring. My Menopause Support Sessions are designed to help you navigate this transition with confidence. Whether you’re considering HRT or looking for lifestyle strategies to support your heart health, I am here to guide you.
Menopause is a time of change, but it doesn’t have to mean compromising your heart health. By understanding the risks and taking proactive steps, whether through HRT, lifestyle changes, or expert guidance, you can protect your heart and thrive during this stage of life.