Heart palpitations can be particularly concerning, as they could signal a more serious health issue. Around 18% to 47% of women experience heart palpitations during perimenopause.
Menopausal palpitations may feel like racing or skipped heartbeats, flip-flops, fluttering, or pounding sensations, and they can occur with or without dizziness or lightheadedness.
When a woman enters perimenopause, the lead-up to menopause, estrogen production significantly decreases. This hormonal shift is associated with an increased heart rate and more frequent palpitations. While some women experience heart palpitations as part of a hot flash, many report them occurring independently. Palpitations are a distinct symptom and don’t always accompany hot flashes.
Research shows that women who report distress from heart palpitations are more likely to experience worse insomnia, more depressive symptoms, higher perceived stress, and a lower overall quality of life during menopause.
In many cases, heart palpitations aren't a cause for concern and tend to resolve on their own. However, in some instances, palpitations may be a sign of an underlying heart condition. In such cases, it’s important to consult a healthcare professional.