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Menopause is a normal phase in a woman's life, but it also comes with important changes that extend beyond the cessation of menstrual periods. One of the aspects that usually gets lost is how it affects the heart. Gynaecologists and industry healthcare professionals note that as estrogen levels drop during menopause, so does the cardiovascular health risk. With heart disease now being one of the major causes of death in women, it is important to know how menopause factors into this and what one can do to safeguard long-term health.
Speaking with Dr Mitul Gupta, Senior Consultant in Obstetrics and Gynaecology, Cocoon Hospital, Jaipur, he said, "The estrogen hormone has a cardio-protective function. It keeps blood vessels supple and assists in maintaining good cholesterol. With the decrease in estrogen levels during menopause, women become more susceptible to high blood pressure, increased cholesterol, and arteriosclerosis. Besides weight gain and redistribution of fat, many women face further heart disease risks. From a professional point of view, physicians emphasise that the risk does not materialise overnight but accumulates over the years after menopause. Identifying this relationship early will make a difference in prevention and treatment."
The absence of menstruation at midlife does, however, increase the risk of heart disease, and that is something that the patients' heart health does not have to decline. According to gynaecologists, there are some firmly established risk reducers. Regular physical activity, moderation of high cholesterol and saturated fat foods, along with the avoidance of tobacco and excess alcohol, are pivotal. Heart health is supported by the consumption of a variety of fresh fruits and vegetables, whole grains, and lean protein. The elimination of highly processed foods and excess salt is essential to blood pressure control.
"During midlife, cholesterol, blood sugar, and blood pressure, and the rate at which control is exercised, along with weight, are tracked. Excess weight, which is highly prevalent at midlife, is the most difficult to shed, which is why control is exercised. The practitioners also recommend regular blood pressure checkups, slim chances of which can lead to high and untreatable blood pressure and an unhealthy midlife," the doctor added.
Most of the time fatigue and feelings of breathlessness and heart pain are greatly dismissed by women as symptoms of the process of getting old. Although in reality, these are some of the symptoms of early heart disease that go unattended. Clinical evaluation is needed. Regular health check-ups during menopause are critical, and along with the follow-ups by health practitioners, are a must. During such moments in time, the doctor may choose to prescribe some medicine and, in certain cases, may even go on to prescribe hormone therapy, based on the individual's condition and set of unique risk factors which may come into play. It is important for women to openly discuss these complications with their doctors and take steps in advance, as this would help in the most critical situations.
Menopause is not a dip in a woman's health condition; rather, it is a stage that demands more attention and care. Through changes in lifestyle as well as careful monitoring through medicine, women can remain active, protect their health, and look after their hearts. There is a consensus among gynaecologists and those at the top of the field that education and proactive management of the issue should come first. Communicating and discussing heart health as well as menopause, encourages women more to take care of their health and rather than shying away from it, embrace it and tackle it without fear.
Hormone therapy may benefit some women, but it should only be used under medical supervision.
Some studies suggest severe menopausal symptoms may indicate higher heart risk.
Through a balanced diet, regular exercise, stress management, and routine check-ups.
Yes, declining estrogen levels during menopause can raise cardiovascular risks.