Menopause can definitely cause increased anxiety and heart palpitations in some women. The hormonal fluctuations and declines that occur during the menopausal transition can have widespread effects throughout the body. Some key points:
- Perimenopause - the transition period leading up to menopause - typically begins for most women in their late 40s. During this time, estrogen and progesterone levels become much more irregular and eventually decline. These hormone changes are largely responsible for menopausal symptoms.
- Lower estrogen in particular is linked to vasomotor symptoms like hot flashes and night sweats. But estrogen also influences mood, sleep, and cognition - which can worsen anxiety and irritability.
- Heart palpitations are often caused by hormonal impacts on the autonomic nervous system - which regulates heart rate, blood pressure, breathing, and more. The autonomic system can become imbalanced, making a racing heart more likely.
- Stress hormones like cortisol and adrenaline tend to be higher during menopause as well, which can trigger anxiety and palpitations. High stress exacerbates hormone changes.
- Some women may be more biologically prone to mood disorders due to underlying genetics and physiology. Menopause hormonal shifts can unmask this vulnerability.
Strategies to alleviate anxiety and palpitations:
- Lifestyle changes - Regular exercise, stress reduction techniques, healthy diet, sufficient sleep and social support can help manage mood and rhythmic heart symptoms. This should be the first line of treatment.
- Hormone therapy - Systemic estrogen/progestin therapy or low-dose vaginal estrogen can help relieve hot flashes, stabilize mood, and regulate the autonomic system. This may curb anxiety and racing heart issues.
- Other medications - Antidepressants, gabapentinoids, beta blockers may be options if symptoms are severe and debilitating after trying lifestyle changes and hormone therapy.
The clinicians at
Hormone Harmony specialize in helping women navigate the changes during perimenopause and menopause, including problematic anxiety and heart palpitations.
We develop customized treatment plans that fit your unique needs and health goals using evidence-based therapies. Contact us today to learn more or schedule a consultation with one of our
menopause specialists. We're here to help you move through this transition with grace.