Understanding Menopause's Impact on Cardiovascular Health in Women

“I was shocked to learn that heart disease is the number one killer of women. I just assumed it was breast cancer.” — Julie Gibson Clark

That moment from Julie’s conversation with Dr. Delilah Renegar, DC, MS, reflects a gap we see often: many women are not taught to think about menopause as a cardiovascular transition.

As estrogen declines, women can experience changes in vascular function, cholesterol metabolism, blood pressure, inflammation, and overall cardiovascular risk patterns.

For some women, hormone therapy may be part of the menopause care conversation, especially within the first 10 years of menopause or before age 60. But it should always be personalized based on symptoms, health history, risk factors, and goals.

The bigger takeaway: hormone health and heart health should not be evaluated in isolation. Women deserve a more complete picture of their cardiovascular risk, especially in midlife.

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