Why It Happens

Blood pressure spikes during menopause are a well-documented effect of hormonal fluctuation. The loss of estrogen’s protective role on arteries and increased stress response are key contributors.

Estrogen Decline: Estrogen helps keep blood vessels flexible. Its loss causes stiffness and heightened response to sodium and stress.

Increased Sympathetic Activity: Menopause can heighten cortisol and adrenaline, leading to greater pressure variability.

Weight Gain Around the Midsection: Abdominal fat increases cardiovascular strain and insulin resistance.

Sleep Disruption: Hot flashes and insomnia interfere with overnight pressure regulation.

Salt Sensitivity Increases: Hormonal shifts can make the body more reactive to sodium intake.

Sources: Healthline, Mayo Clinic, Cleveland Clinic, WebMD.

How to Manage

Track Your Cycle and Symptoms: Even in perimenopause, charting patterns can help guide interventions.

Improve Sleep Environment: Use a cooling routine or weighted blanket to support restful sleep.

Adopt a DASH-Like Diet: Focus on whole foods, low sodium, and high potassium intake.

Try Stress-Reduction Techniques: Breathing, nature walks, and journaling all help lower cortisol.

Consider Hormonal Support: Consult your doctor about bioidentical hormone options if appropriate.

Menopausal blood pressure changes are common — but highly responsive to supportive care.

Recommended Products

Anti-Mullerian Hormone (AMH): Testing for ovarian reserves and estimation of future fertility

Key Biomarkers

• Thyroid Stimulating Hormone (TSH)

• Total Testosterone

• Free Testosterone

Expert-Backed Reads

• The 7-Step Protocol to Conquer Stress: Insights from Andrew Huberman

• Understanding the "Stress Hormone" & Its Impact on Your Health

• 2 Silent Killers in Your Blood: How Mito Health Can Uncover and Combat Stress-Induced Aging

You Might Also Be Experiencing

• Blood Pressure Spikes Before Eating: Explore causes and personalized insights for blood pressure spikes before eating using advanced testing with Mito Health.

• Blood Pressure Spikes In 20S: Explore causes and personalized insights for blood pressure spikes in 20s using advanced testing with Mito Health.

• Blood Pressure Spikes In Teenagers: Explore causes and personalized insights for blood pressure spikes in teenagers using advanced testing with Mito Health.

• Blood Pressure Spikes In The Morning: Explore causes and personalized insights for blood pressure spikes in the morning using advanced testing with Mito Health.

• Blood Pressure Spikes In Working Women: Explore causes and personalized insights for blood pressure spikes in working women using advanced testing with Mito Health.