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Medically Approved

How to stop hormonal heart palpitations

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CausesTreatmentRisk factorsSpeaking with a doctorSummary
Hormonal heart palpitations may result from several health conditions, including menopause. Many treatment options can help manage symptoms, such as hormone replacement therapy.
Medically reviewed by Angela Ryan Lee, MD, FACC
Updated on

Hormonal heart palpitations may occur when you experience hormonal changes in your body. People may also experience hormonal heart palpitations during menstruation or pregnancy.

Generally, hormonal heart palpitations are only a temporary condition that typically goes away. If you experience them frequently, a healthcare professional may recommend lifestyle measures or medication to help you manage symptoms.

A heart palpitation may feel like your heart is pounding, has skipped a beat, or is fluttering in your chest. Some people also describe it as a flip-flopping sensation. It can last from 1 to several seconds.

Causes

Person laying down with their hand over their chest and experiencing heart palpitations.
Photography by Catherine McQueen/Getty Images

Some people may notice palpitations during their menstrual cycle, pregnancy, or menopause. While researchers are still trying to understand why they occur, there appears to be a connection between changes in hormone levels such as progesterone and estrogen in the body.

Heart palpitations are common during perimenopause. During this initial stage of menopause, progesterone and estrogen levels can fluctuate, causing heart palpitations. They may also occur while you are experiencing other symptoms, like hot flashes. These types of palpitations are typically harmless.

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Treatment

Doctors may recommend undergoing hormone replacement therapy (HRT) to reduce menopausal symptoms.

HRT medications may include estrogen, progestin, or a combination of these hormones.

Examples include:

However, HRT may not be suitable for everyone as it can increase the risk of complications, including:

In some cases, depending on the exact cause of palpitations, doctors may recommend taking beta-blockers or calcium channel blockers to help your heart keep a regular heart rhythm.

Specific lifestyle measures may also help reduce the frequency of hormonal heart palpitations. This can include:

  • reducing caffeine intake
  • avoiding or reducing the consumption of alcohol and cigarettes, if applicable
  • practicing relaxation techniques, like yoga and breathing exercises
  • regularly doing physical exercise

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What are the risk factors for heart palpitations?

The risk factors and triggers for heart palpitations may include:

  • having a condition such as sleep apnea, kidney disease, and lung disease
  • your family history
  • your age, as older adults have an increased risk of developing heart-related conditions
  • if you smoke
  • drinking more than the recommended daily amount of alcohol
  • taking medications, such as certain antibiotics

Underlying cardiovascular conditions may also increase the risk of heart palpitations, including:

When should you speak with a doctor?

Estrogen helps protect several parts of your body, including arteries and blood vessels, by reducing the buildup of fatty plaque. If you have low estrogen levels, this can increase the risk of conditions such as:

  • osteoporosis
  • heart disease
  • cardiovascular disease

About 1 in 100 people with a period experience early menopause, with menstruation stopping before the age of 40. If you are 45 years old or younger and your period stops, you should see a doctor.

People with heart palpitations should also see a doctor if they experience any of the following symptoms:

  • chest or back pain
  • nausea
  • vomiting
  • shortness of breath
  • difficulty breathing
  • feeling faint or having fainted
  • palpitations lasting for a prolonged time
  • palpitations happening with an increased frequency

If you are experiencing heart palpitations and are concerned, consider speaking with a doctor. They can diagnose the underlying cause of your symptoms and recommend the most appropriate treatment.

Summary

Hormonal heart palpitations are common in people during menopause and perimenopause. They may also occur during your period or pregnancy.

Palpitations have many causes, and an evaluation by a healthcare professional can help diagnose the cause and determine the appropriate treatment. This is also a good chance to discuss any risks of cardiovascular disease.

Hormonal heart palpitations typically occur when a person has a sudden change in their hormone levels, in particular progesterone and estrogen levels. HRT can help some people to manage their hormone levels and improve hormonal heart palpitations.

Several lifestyle measures can help you manage symptoms and improve cardiovascular health, including:

  • avoiding or limiting caffeine and alcohol
  • avoiding smoking, if applicable
  • reducing your stress levels
  • doing regular physical exercise

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