In this episode, we discuss a listener’s question. Amanda is 50 years old and starting to
have menopausal hot flashes and weight gain. However, she is most concerned about
the heart palpitations she is having. Amanda has had a cardiovascular workout and
does not have heart disease. Most people might not be aware, but feeling abnormal
heart rhythms without heart disease or feeling like your heart is doing flip-flops in your
chest can be a symptom of menopause.
Amanda’s Question:
Hello, I am 5o y/o and had HYS sparing ovaries at age 40. Been on oral micro
progesterone and love it. However over last few years the flashes started and
supplements helped for a while, and had about a 7 ibs increase over the last 18 months
slowly and my small frame felt it. Then our of the blue 3 months ago I started having pvc
palpitations (with no chest pain, dizziness etc,,,, just annoying and not a comfortable
sensation. I am super fit and eat very clean.
My Functional GYN started me on BiEst 80/20 about 3 weeks ago. I do 4 pumps in the
am on my thighs (not sure if I should be rotating thighs) my throughout the day
palpitations felt a little better within the first week then came back BUT seems a few
when I wake up, I do the cream and then they go away and now they start again about
1pm and throughout the rest of day into evening….occasionally they wait until evening
5-6pm to start again.
I have kept a record. I have my follow up in June, but don’t want to wait to try and see of
two times a day is better for me? two questions….am I metabolizing through it? Should I
split 2 pumps in am and the other 2 in the evening when the palps start again? Will that
backslide any progress I have made? Should I rotate thighs every day? Thank you
In this episode we break Amanda’s question into:
● What are heart palpitations?
● How does estrogen affect the heart?
● Why does menopause cause heart palpitations?
● How to dose hormone therapy to help heart palpitations?
If you have a question, please visit our website and click Ask the Doctor a question.
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