Why It Happens

Perimenopause is a time of hormonal shifts that can cause increased blood pressure variability. As estrogen levels fluctuate, vascular tone and sodium balance become more sensitive.

Estrogen Decline: Less estrogen leads to stiffer blood vessels and reduced nitric oxide production.

Salt Sensitivity Increases: Hormonal imbalance makes the body retain more sodium.

Increased Cortisol: Stress often peaks in perimenopause, raising pressure through sympathetic activation.

Sleep Disruption: Night sweats and insomnia reduce parasympathetic recovery.

Weight Redistribution: Abdominal fat gain increases cardiovascular strain.

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

How to Manage

Track Your Symptoms: Cycle journals can help reveal hormone-pressure patterns.

Adopt a DASH-Based Diet: Prioritize magnesium, potassium, and low sodium intake.

Support Sleep with Routine: Evening calming practices improve nervous system regulation.

Talk to Your Doctor: Consider lab testing or support for hormonal balance.

Practice Gentle Movement: Walking, yoga, or stretching helps manage cortisol and improve flow.

Perimenopausal pressure shifts are common — and often reversible with daily support.

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Key Biomarkers

• Thyroid Stimulating Hormone (TSH)

• Total Testosterone

• Free Testosterone

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