Menopause and Cholesterol

Written By Natalie OGorman

What you need to know

What? Hot flushes AND high cholesterol. What is going on?

As we go through menopause, our oestrogen levels drop, which can mean your previously “great cholesterol” keeps creeping up, which increases your risk of heart disease and stroke

Before menopause, oestrogen helps protect women from heart disease — that’s one reason why women tend to develop heart issues later than men. But after menopause, that natural protection fades, and cholesterol levels often shift in an unhealthy direction

OK… but why NOW?

Before menopause oestrogen works to

  • increase HDL [the one that removes cholesterol from our blood vessels]

  • decrease LDL [the one that can block our blood vessels]

  • regulates trigylcerides [the type of fat your body stores for energy.]

 During perimenopause and menopause oestrogen levels are dropping.

This leads to

  • LESS good cholesterol

  • MORE bad cholesterol

  • HIGHER RISK OF HEART DISEASE

So, what can I do?

Know your numbers… ask your doctor to check your lipids

You can’t stop menopause but you CAN lower your risk

  • Eat a balanced diet [low in processed carbs, rich in fibre, healthy fats]

  • Not a replacement for healthy habits or meds, but some women use:

    • Omega-3s (fish oil) – may lower triglycerides

    • Plant sterols/stanols – reduce LDL

    • Flaxseed, berberine, green tea extract, garlic – small effects, may help some people

  • Stay active (a mix of cardio and strength training)

  • Prioritize sleep and stress management — both affect hormones and blood sugar

What about HRT?

HRT helps with symptoms of menopause

It is not recommended just to lower cholesterol

HRT may help reducing heart disease if started before the age of 60 and within 10 years of menopause

Come in and chat about your cholesterol with Paula and she can help you manage your perimenopausal heart health needs

Natalie OGorman
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