08/08/2025
🫀 Menopause & Heart Health: What is Going On?
So, you’re cruising (or crawling) through menopause. You’re dealing with hot flashes, night sweats, and your once-loyal sleep schedule ghosting you like a bad date. But here’s the kicker: while all that chaos is happening on the outside, there’s a sneaky little plot twist happening inside… to your heart. Yep—menopause can mess with your heart health too. And not in a “rom-com” way.
💔 Wait—Menopause Affects My Heart Too?
Unfortunately, yes. As estrogen starts to pack its bags and leave your body, the protection it gives your heart goes with it. Estrogen has been your cardiovascular BFF for years. Now it’s ghosting you too.
Here’s what that means in real terms:
Cholesterol shoots up: Around 60% of women aged 45–55 get a cholesterol boost they didn’t ask for.
Belly fat becomes clingy: 1 in 2 women gain weight during perimenopause. And it doesn’t land gently—it heads straight to the belly and wraps itself around your organs like an uninvited houseguest who won’t leave. This “visceral fat” can mess with your heart, your blood sugar, and basically everything.
Blood pressure rises: Just another perk of midlife womanhood. (Add it to the list.)
Your arteries get stiff: Thanks again, low estrogen. This makes it harder for blood to flow smoothly, like traffic on a bank holiday weekend.
So, What Can You Actually Do?
Good news! You don’t need to live on kale or join a CrossFit cult to take care of your heart. Small, doable changes can go a long way.
Here’s your midlife heart-friendly cheat sheet:
🥑 Eat Like You Love Your Heart
Swap fatty meats and butter for unsaturated fats (olive oil, avocados, nuts—yes, nuts!).
Eat fish or plant-based proteins (beans, lentils, chickpeas) a few times a week.
Grill or bake—step away from the deep fryer, it's no longer your friend.
Cut back on sugar bombs (we’re talking fizzy drinks, cakes, biscuits... sorry!).
Ease up on salt—ditch the ready meals, get flirty with herbs and spices instead.
Try to eat 2 portions of fish a week—bonus points if one is oily (like salmon or sardines).
Aim for at least 5-a-day in fruit and veg, preferably more, studies show 10 is great but let's be real who meets that a day.
🥖 Go Whole (Grain)
Brown rice, oats, wholegrain breads, high-fibre cereals—your gut and heart will thank you.
👖 Is My Waist a Problem?
Let’s talk belly fat. No shade, we all have it. But too much around your middle can raise your heart risks. So how do you know?
Try the Waist-to-Height Ratio Test. Sounds fancy, but it’s simple:
Measure around your waist (just above your belly button).
Measure your height.
Divide your waist by your height.
👉 Don’t have a tape measure? Use a piece of string the same length as your height. Fold it in half. If the half-length string doesn’t make it around your waist—your belly’s calling the shots. Check out https://www.nhs.uk/health-assessment-tools/calculate-your-body-mass-index/
Even a modest weight loss around your middle can help with blood sugar, blood pressure, and heart health. We’re talking baby steps, not bootcamp.
💊 What About HRT?
Hormone Replacement Therapy (HRT) can be a life-changer. It’s mostly used for symptom relief and bone health, but…
If you’re under 60 or within 10 years of menopause, HRT might protect your heart too.
If you’re over 60 or more than a decade into menopause, that protection fades.
Bottom line? Talk to your doctor about what’s right for you. No one-size-fits-all.
🧈 Let’s Chat Cholesterol (Yes, Again)
Cholesterol isn’t all bad. Your body needs some of it for hormones and vitamin D. But too much of the wrong kind can clog up your arteries like old hair in a drain.
Here’s the breakdown:
HDL = “Good” cholesterol: Gets rid of the excess junk.
LDL/non-HDL = “Bad” cholesterol: Builds up and blocks your arteries.
Triglycerides = Extra fat in your blood: Often checked at the same time.
🩸 Get a blood test to find out where you stand.
What’s a Good Cholesterol Ratio?
Total cholesterol divided by your HDL. (Don’t worry, your doctor will do the math.)
🟢 Under 3.5 = Awesome
🟡 3.5 to 5.0 = Hmm, watch it
🔴 Over 5.0 = Houston, we have a problem
Remember: it’s not just about the numbers. Your doctor will look at everything—like family history, smoking, weight, and activity levels.
🌱 Can I Lower Cholesterol Naturally?
YES ABSOLUTELY. Start here:
Move your body—brisk walk, dance party in your kitchen, whatever works.
Ditch smoking—you know this already.
Try foods with plant stanols or sterols—they help reduce cholesterol absorption in your gut.
You can find them in fortified spreads, yoghurt drinks, milks, etc. But you need around 2g per day for them to work.
⚠️ They’re not a substitute for meds, and they don’t prevent heart attacks or strokes. But they can help.
And yes—you can take them with your statins. Just don’t make changes without talking to your doctor.
Final Thought
Menopause isn’t just about hot flashes and mood swings. It’s your body saying, “Hey, pay attention!” And your heart is part of that convo.
So, eat well, move often, laugh loudly, and remember you’re not falling apart—you’re just under renovation.
Visit - https://menopausestudio.co.uk/ for more Menopause Talk, or drop me a message for a chat.
