As October marks Menopause Awareness Month, the American Heart Association and The Menopause Society are drawing attention to a critical but often overlooked aspect of women's health: the link between menopause and cardiovascular disease. With an estimated 6,000 women in the U.S. enter menopause every day, understanding the heart health implications of this life stage is more important than ever.
Cardiovascular disease remains the leading cause of death among women, yet only 4 in 10 women recognize it as their greatest health threat. The years surrounding menopause—including perimenopause and postmenopause—represent a window of increased risk. While menopause itself does not cause cardiovascular disease, the hormonal changes can lead to higher LDL cholesterol, increased body fat around organs, and stiffening blood vessels, all of which contribute to heart disease and stroke risk.
"Menopause represents an important opportunity for cardiovascular disease prevention," said Chrisandra L. Shufelt, MD, MS, FACP, MSCP, current board member and past president of The Menopause Society. "By the time women reach menopause, approximately 90% have at least one risk factor for heart disease, and we know that significant cardiometabolic changes occur during the menopause transition."
Perimenopause, the transitional period before the final menstrual period, often brings the most noticeable symptoms, such as hot flashes, night sweats, fatigue, and brain fog. These symptoms can be disruptive, but they also signal an important time to focus on heart health. Women are encouraged to know their numbers—blood pressure, cholesterol, blood sugar, and kidney health—and to discuss any concerns with their healthcare team.
Kidney health is a particularly overlooked factor. According to a 2026 American Heart Association scientific statement, menopause and aging can accelerate chronic kidney disease, which is a major contributor to heart disease and stroke risk.
Additionally, a study published in the Journal of the American Heart Association found that after menopause, an estimated 1 in 4 women may develop irregular heart rhythms, known as atrial fibrillation, during their lifetime. Stressful life events and insomnia were identified as major contributing factors.
To help women navigate this transition, the American Heart Association's Go Red for Women movement offers a comprehensive Go Red for Women menopause resource center, while The Menopause Society provides evidence-based information and a directory of certified practitioners at menopause.org. Women can also learn more about menopause and heart health through the American Heart Association's heart.org and stroke.org.
"There is no one-size-fits-all menopause experience," said Jen Ashton, M.D., M.S., an American Heart Association volunteer and board member. "Every woman deserves access to information, support and resources that help her make informed decisions and feel her best."
As many women spend about 40% of their lives in postmenopause, the message is clear: midlife is a critical time to prioritize heart health. By staying active, eating well, managing stress, and working with healthcare providers, women can take proactive steps to protect their cardiovascular health for decades to come.
