Heart Palpitations and Menopause: What You Should Know

Feeling Your Heart Beat Differently? You’re Not Alone

If your heart suddenly feels like it’s fluttering, pounding, or racing—you’re not imagining it. Around 50% of women experience heart palpitations during perimenopause and menopause, often without realizing it’s related to hormonal changes.

The good news? In most cases, these sensations are harmless. But it’s important to understand what’s going on and when to check in with a doctor.


What Are Palpitations?

Palpitations are the awareness of your heartbeat. It might feel faster, stronger, or irregular—like a flutter, thump, or even a skipped beat. They can last seconds or minutes and may come with:

  • Hot flashes or night sweats
  • Dizziness
  • Feeling breathless
  • Or they may show up alone

How Hormones Are Involved

During perimenopause and menopause, estradiol, progesterone, and testosterone fluctuate and decline. These hormones help regulate the electrical impulses in your heart. When their levels drop, your heart may beat 8–16 beats faster per minute.

This hormonal shift is why palpitations often appear during this life stage.


When It Feels Scary (But Usually Isn’t)

Palpitations can feel unsettling—especially if you’ve never had them before. And yes, they may interfere with sleep, mood, and quality of life. But most are not dangerous.

Still, speak to a healthcare professional if:

  • They last for several minutes
  • Come with chest pain or shortness of breath
  • Get worse or more frequent over time
  • Don’t improve within 3 months of starting HRT

How to Manage Palpitations

💡 Hormone therapy (HRT): The right type and dose can help stabilize your heart rhythm and reduce other symptoms. Research also shows that HRT may lower future heart disease risk.

💡 Lifestyle strategies:

  • Reduce stress through mindfulness, deep breathing, or yoga
  • Prioritize sleep—your heart loves rest
  • Stay hydrated and avoid caffeine or alcohol
  • Avoid sugar spikes by eating balanced meals
  • Maintain a healthy weight and exercise regularly
  • Don’t smoke—your heart will thank you

Let’s Talk About It!

Palpitations might feel scary, but knowledge is power. Join the Menopausia.com community for expert info, support, and honest conversations.

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