Menopause is a natural life stage that occurs when a person with ovaries no longer menstruates for over 12 months. On average, this occurs at
Hormone shifts occur at this stage of life. Markedly, the ovaries produce less
Uncomfortable, yet common, symptoms may occur as a result. These may include hot flashes, poor sleep, vaginal dryness, night sweats, mood changes, and a slower metabolism.
After menopause, health risks also change, including an increased risk for heart disease. The increased risk of heart disease is mainly due to menopause’s effect on cholesterol levels.
This article further explores the relationship between menopause and blood cholesterol levels.
Menopause can lead to changes in hormones and metabolism, ultimately altering your lipid profile.
A lipid profile is a panel of blood tests that measure the type of fats in your blood, which can help determine risk factors for developing heart conditions. A lipid panel
- total cholesterol
- high density lipoprotein (HDL), also known as “good cholesterol”
- low density lipoprotein (LDL), also known as “bad cholesterol”
A high level of lipids, including LDL cholesterol and triglycerides, can
So where does menopause fit into this? Turns out, estrogen — the sex hormone that decreases during this stage of life — has many heart-protective mechanisms.
Estrogen works on the liver to
So when menopause begins and estrogen levels go down, your body’s ability to maintain that healthy lipid profile can be affected. That can lead to increases in cholesterol.
(However, observational studies are designed to find associations but can’t explain cause and effect — or why the associations exist. Their findings don’t always tell the full story compared to other types of studies due to
Thankfully, there are many lifestyle modifications you can make to manage your cholesterol levels during menopause — or at any age and stage of life.
Diet can play a significant role. Focus on increasing your intake of soluble fiber, which
Enjoy various foods rich in soluble fiber, such as:
- legumes like beans, edamame, chickpeas, peas, and lentils
- whole grains like barley and oats
- fresh fruits and vegetables like apples and carrots
- fiber supplements like psyllium
As well, enjoy foods high in heart-healthy omega-3 fatty acids like salmon, walnuts, ground flax, olive oil and avocado. Increased intake of omega-3 fatty acids
Be mindful of your saturated fat intake. Excess saturated fat in the diet — from sources like red meat, high fat dairy, and butter — is
Exercise can be incredibly beneficial for heart health. The
Here are some questions people often ask about menopause and cholesterol.
Can menopause cause high cholesterol?
Menopause does not cause high cholesterol, but it does increase the risk.
High cholesterol has many risk factors, including family history, lifestyle, hormones, co-morbidities, environment, and more.
Does cholesterol go down after menopause?
No, because estrogen levels are reduced after menopause. Estrogen plays a role in keeping cholesterol low, so when estrogen levels go down, cholesterol levels may go up.
It’s important to focus on managing cholesterol levels through diet and lifestyle.
How can I lower my cholesterol during menopause?
Focus on eating more foods that are high in fiber and healthy fats, such as nuts, seeds, legumes, whole grains, fruits, vegetables, fatty fish, and olive oil. Incorporate an exercise routine if you don’t already have one. And if you smoke, consider quitting.
During menopause, estrogen levels decrease. That’s associated with increased cholesterol levels, because estrogen helps your body regulate cholesterol and other lipids.
However, there are many lifestyle changes you can make to lower your risk of heart disease after menopause.
These include enjoying a varied and balanced diet rich in plant-based foods and fatty fish, adopting or maintaining an exercise routine, and quitting smoking if you currently smoke.
Keep in mind that menopause and reduced estrogen is just one of many risk factors. Focus on what is within your control and do your best.