5 Menopause Symptoms That Could Signal Heart Issues

Menopause and the preceding years of perimenopause bring many changes to a woman’s body, including a decline in estrogen and progesterone production. While natural, these hormonal shifts can increase the risk of cardiovascular issues. With heart disease being the leading cause of death for women, recognizing the signs of heart issues and seeking medical care promptly can be life-saving. Below are five symptoms that women in their mid-40s and beyond should monitor closely.

1. Extreme Fatigue

Feeling unusually tired may indicate an underlying health issue. Research shows that 70% of women reported fatigue as a warning sign in the weeks before a heart attack. If exhaustion persists despite rest, consult your doctor to rule out cardiovascular concerns.

2. Intense Hot Flashes

Severe hot flashes that disrupt daily life may signal more than just menopause symptoms. Studies link frequent, intense hot flashes to a higher risk of heart disease and fatty liver disease. Women experiencing these symptoms should consult a healthcare provider to explore treatment options.

3. Depression

Depression is closely tied to heart health, with women facing a higher risk of cardiovascular disease than men when depression is present. Addressing mood changes through therapy, medication, or hormonal treatments can help reduce this risk.

4. Sudden Shortness of Breath

Unexplained breathlessness, especially when paired with nausea or fatigue, may signal a heart attack. Since women’s heart attack symptoms often differ from men’s, any sudden or unusual difficulty breathing warrants immediate medical attention.

5. Migraines

Migraines are more common in women and often intensify during perimenopause due to hormonal changes. However, their symptoms can overlap with signs of a stroke, such as dizziness, vision changes, or numbness. Seek emergency care if you experience these for the first time.

By staying vigilant about these symptoms and discussing them with your healthcare provider, you can better protect your heart health during menopause and beyond.

Source: Dr. Stacey Rosen, Dr. JoAnn Pinkerton, and various cardiovascular health studies (2024).