Is there a connection between menopause and high blood pressure?

Answer From Rekha Mankad, M.D.

Blood pressure generally increases after menopause. Some health care providers think this increase suggests that shifting hormones related to menopause play a role. Other providers think an increase in body mass index (BMI) in menopausal women may be the more likely culprit.

Changes in hormones during menopause can lead to weight gain and make blood pressure more sensitive to salt in the diet — which, in turn, can lead to higher blood pressure. Some types of hormone therapy (HT) for menopause also may lead to higher blood pressure.

To control your blood pressure both before and after menopause, focus on a healthy lifestyle:

  • Maintain a healthy weight.
  • Eat heart-healthy foods, such as whole grains, fruits and vegetables.
  • Reduce the amount of processed foods and salt.
  • Exercise most days of the week.
  • Manage stress.
  • Limit or avoid alcohol.
  • If you smoke, stop.

If necessary, a health care provider may prescribe medications to help lower blood pressure.


Rekha Mankad, M.D.

Jan. 04, 2022