
Heart palpitations
Feeling your heart race or flutter can be unsettling, especially when it happens unexpectedly. Many women notice new or more frequent heart palpitations during and after menopause. These sensations are usually harmless, but it’s always best to understand what’s happening and talk with your doctor to rule out other causes.
What are heart palpitations?
Heart palpitations are irregular or more noticeable heartbeats. They may feel like:
- A fluttering or pounding in the chest
- A racing heartbeat
- A skipped or extra beat
Palpitations can last for just a few seconds or a few minutes. They often come and go and may occur when you’re resting, stressed, or after having caffeine or alcohol.
In most cases, palpitations are not dangerous, but if they’re new or frequent, they should be checked by a doctor.
Free AssessmentWhy palpitations happen after menopause
After menopause, lower estrogen levels can affect the way your heart responds to normal signals in the body. This can make the heart beat faster or less rhythmically at times.
Other factors that can contribute to heart palpitations include:
- Hot flushes and night sweats
- Stress or anxiety
- Caffeine, alcohol, or nicotine
- Lack of sleep
- Certain medications or supplements
The hormonal changes of menopause can also make you more aware of your heartbeat, even if it’s normal.
Managing palpitations
Simple lifestyle changes can help reduce how often palpitations occur and make them less noticeable:
- Limit caffeine and alcohol
- Avoid smoking and stimulant drinks
- Practice relaxation techniques such as deep breathing, yoga, or mindfulness
- Get enough sleep and manage stress
- Stay active with regular exercise
If your palpitations are linked to hormonal changes, Menopausal Hormone Therapy (MHT) may be an option to discuss with your doctor.


When to see your doctor
It’s important to speak to your doctor if you notice heart palpitations for the first time, or if they are:
- Occurring regularly or lasting longer than usual
- Associated with shortness of breath, dizziness, chest discomfort, or fainting
- Happening alongside other menopausal symptoms that affect your daily life
Your doctor may recommend simple tests such as an ECG or blood work to rule out heart conditions or thyroid problems.
Supporting heart health after menopause
After menopause, the risk of heart disease gradually increases. A healthy lifestyle can help protect your heart and overall well-being:
- Eat a balanced diet with plenty of fruits, vegetables, fish, and whole grains
- Stay physically active most days of the week
- Maintain a healthy weight and manage blood pressure and cholesterol
- Make time for rest and social connection to support your emotional health
Support for your menopause journey
At WellFemme, our menopause doctors understand how hormonal changes can affect your heart, energy levels, and overall well-being. Through a personalised Telehealth consultation, your clinician can discuss what’s normal, identify any possible causes of palpitations, and recommend safe, evidence-based ways to manage them.
If you’re experiencing heart palpitations or want to understand how menopause affects your heart health, book a Telehealth consultation with a WellFemme menopause doctor for expert advice and reassurance.
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