Menopause Increases Risk Of Heart Disease In Women, Experts Say

Heart disease is the leading cause of death in women, and the risk tends to rise after menopause. Yes, menopause can increase the risk of heart disease in women. This is primarily due to the drop in estrogen levels, a hormone that has protective effects on the cardiovascular system. Before menopause, estrogen helps maintain healthy blood vessels by keeping them flexible, allowing them to relax and expand to accommodate blood flow. It also aids in controlling cholesterol levels by increasing HDL ("good" cholesterol) and decreasing LDL ("bad" cholesterol).

When estrogen levels decline during menopause, this protection diminishes, leading to an increased risk of developing heart-related issues such as high blood pressure, high cholesterol, and atherosclerosis (hardening of the arteries). Post-menopausal women are more likely to experience changes in the walls of their arteries, leading to a higher risk of heart attacks and strokes.

Additionally, other factors often coincide with menopause that further increase heart disease risk. Weight gain, especially around the abdomen, becomes more common during menopause, which can lead to metabolic syndrome—a cluster of conditions that includes high blood pressure, high blood sugar, and abnormal cholesterol levels, all of which heighten the risk of heart disease. Lifestyle changes such as reduced physical activity and poor dietary habits can also exacerbate the situation.

However, it’s important to note that heart disease is not an inevitable consequence of menopause. Women can take proactive steps to reduce their risk, such as maintaining a healthy diet, exercising regularly, quitting smoking, managing stress, and having regular check-ups to monitor blood pressure, cholesterol, and other heart-health markers.

In conclusion, while menopause increases the risk of heart disease due to declining estrogen levels and other related factors, lifestyle changes and preventive measures can help mitigate this risk significantly.

Dr Gandhali Deorukhkar

Guest Author Consultant - Obstetrics and Gynaecology, Wockhardt Hospitals Mumbai Central,