Is there a connection between menopause and high blood pressure?
Answer From Rekha Mankad, M.D.
Blood pressure tends to go up after menopause. Some healthcare professionals think changing hormones related to menopause may cause blood pressure to rise. Others think an increase in body mass index, also called BMI, during menopause may be the cause.
Changes in hormones during menopause can lead to weight gain. Also, these changes can make blood pressure more sensitive to salt in the diet. When this happens, blood pressure can go up. Some types of hormone therapy for menopause may lead to higher blood pressure as well.
To manage your blood pressure both before and after menopause, focus on a healthy lifestyle:
- Maintain a healthy weight.
- Eat heart-healthy foods. Choose whole grains, fruits, and vegetables.
- Limit salt and processed foods.
- Exercise most days of the week.
- Manage stress.
- Limit or avoid alcohol.
- If you smoke, stop.
If necessary, your healthcare team may suggest medicines to help lower blood pressure.
Show References
- Changes you can make to manage high blood pressure. American Heart Association. https://www.heart.org/en/health-topics/high-blood-pressure/changes-you-can-make-to-manage-high-blood-pressure. Accessed April 17, 2023.
- Menopause and heart disease. American Heart Association. https://www.heart.org/en/health-topics/consumer-healthcare/what-is-cardiovascular-disease/menopause-and-heart-disease. Accessed April 17, 2023.
- Menopause and heart health. Office on Women's Health. https://womenshealth.gov/nwbpaw/menopause-and-heart-health. Feb. 24, 2025.
- Yang D, et al. Effectiveness of exercise training on arterial stiffness and blood pressure among postmenopausal women: A systematic review and meta-analysis. Systematic Reviews. 2024; doi:10.1186/s13643-024-02589-y.
- Li S, et al. The pathophysiology, prognosis and treatment of hypertension in females from pregnancy to post-menopause: A review. Current Heart Failure Reports. 2024; doi:10.1007/s11897-024-00672-y.
Original article: https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/menopause-and-high-blood-pressure/faq-20058406