How does menopause affect cardiovascular health?

Menopause marks a significant hormonal shift in a woman’s life, and one of the lesser-known — but critical — impacts is its effect on heart and blood vessel health. In her expert article, Dr Theodora Kalentzi, a leading menopause specialist, explains how declining oestrogen levels during and after menopause can increase a woman’s risk of developing cardiovascular disease (CVD).


Key Points from Dr Kalentzi’s Insights:

Decline in Oestrogen

  • Oestrogen has protective effects on the heart and blood vessels.
  • As levels drop during menopause, arterial walls become less flexible, potentially leading to increased blood pressure and plaque build-up.

Increased Risk of Heart Disease

  • After menopause, the risk of conditions such as coronary artery disease, stroke, and high cholesterol rises significantly.
  • Cardiovascular disease is the leading cause of death in postmenopausal women.

Importance of Early Monitoring

  • Dr Kalentzi stresses the importance of regular blood pressure, cholesterol, and blood sugar monitoring for women going through menopause.
  • Lifestyle factors such as diet, exercise, and weight management are crucial during this stage.

HRT Considerations

  • Hormone Replacement Therapy (HRT) may help manage menopausal symptoms and could offer cardiovascular benefits if started early, especially before the age of 60 or within 10 years of menopause onset.
  • However, HRT should be considered on an individual basis, taking into account personal and family health history.

Dr Kalentzi emphasises that menopause is a pivotal time to reassess heart health. With proactive care, education, and support, women can navigate this transition with greater confidence and reduce long-term cardiovascular risks.

📖 Read the full article here: https://www.topdoctors.co.uk/medical-articles/how-does-menopause-affect-cardiovascular-health