09/04/2026
Heart palpitations are one of those perimenopause symptoms that can really catch women off guard.
A recent patient mentioned experiencing a fluttering or racing heartbeat, and it opened up an important conversation: yes, palpitations can happen during the menopause transition.
Hormone fluctuations can affect many systems in the body, and some women notice episodes of their heart feeling like it’s racing, pounding, skipping, or fluttering.
But here’s the important part: we should never automatically assume heart symptoms are “just hormones.” New or persistent palpitations should still be evaluated so other causes can be ruled out.
For some women, when symptoms are related to the menopause transition, treating the bigger hormonal picture — which may include hormone therapy when appropriate — can help improve how they feel.
If your heart has suddenly started doing something it never used to do, bring it up.
It may be part of perimenopause… and it’s absolutely worth a conversation.
If palpitations are accompanied by chest pain, fainting, severe shortness of breath, or other concerning symptoms, seek urgent medical care.
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