Heart Palpitations and Dizziness
Do you recognize this?
Your heart suddenly races or seems to skip a beat, with no clear trigger. Sometimes it happens during a hot flash, sometimes seemingly out of nowhere, and sometimes you also feel a bit dizzy along with it. For many women, this is one of the most unsettling menopause symptoms, precisely because it feels like something serious is going on.
Many women recognize:
- A heart that pounds or races without exertion
- The feeling that your heart skips a beat
- Palpitations during or just before a hot flash
- Mild dizziness, sometimes together with palpitations or a hot flash
- A restless or slightly anxious feeling that comes with it
These symptoms are usually harmless, but do deserve attention and, where needed, investigation.
Why does this happen?
Before menopause, women have a lower cardiovascular risk than men, thanks to the protective effect of higher estrogen levels. Estrogen has a direct protective effect on the blood vessel walls, blood pressure regulation, and lipid metabolism. After menopause, that protective effect declines quickly.
When estrogen declines and fluctuates, this can lead to a more sensitive heart rhythm and more noticeable palpitations. They often occur around a hot flash, because the same hormonal disruption of thermoregulation can also affect heart rhythm. The blood vessel dilation during a hot flash can also temporarily cause blood pressure to fluctuate, which can produce a slightly dizzy feeling.
Chronic stress also plays a role: prolonged elevated cortisol makes the heart rhythm more sensitive. With persistent or severe symptoms, it's important to also rule out other causes, such as an overactive thyroid, which can present with similar symptoms.
What can you do yourself?
These adjustments can contribute to a calmer heart rhythm:
- Reduce caffeine and alcohol, both can trigger or worsen palpitations.
- Work on stress management, for example with breathing exercises the moment you notice it.
- Stay active enough. Regular, moderate exercise supports a healthy heart rhythm in the long term.
- Keep a diary of when symptoms occur, this helps the doctor recognize patterns.
How Menovia addresses this
At Menovia, we take palpitations seriously and look broadly, not just at hormones. During the intake, a BIG-registered doctor discusses your symptoms, their frequency, and your medical history. Through blood testing we map out your hormone levels, and depending on your package, also your thyroid function and lipid profile, both relevant to your cardiovascular health.
Based on that, the doctor draws up a personal treatment plan. When symptoms point to an underlying heart rhythm disorder, we refer you to the right specialist. For hormonally related symptoms, bio-identical hormone therapy can contribute to more stability.
You can get started quickly: no waiting list, and the 10-minute introductory call is free.
This is what the treatment process looks like
Online Screening
Leave your details and schedule an intake. Through a digital questionnaire, we'll check whether you're eligible for a free introductory call (10 min) or intake (45 min). When scheduling, you pay a deposit of €150, which is deducted from the intake costs of your package.
Intake
You will discuss our program with one of our specialized doctors and decide whether to participate.
Blood & DNA research
You will receive the tests at home for a smooth process. Blood tests are done at a location near you.
Personal Treatment Plan
Based on your research results, the doctor will create a personal treatment plan, usually consisting of bioidentical hormone supplementation and, if necessary, supplements.
Start Traject
Het traject duurt minimaal 6 maanden om er zeker van te zijn dat we je goed begeleiden.
Monitoring
During your treatment, you will be in regular contact with our expert team. Blood tests are done every 12 weeks for adjustments.
Evaluation
At the end of your treatment, we will determine your next steps together. This may include a referral back to the doctor or further guidance with Menovia.
Persoonlijke zorg, op maat samengesteld
Frequently asked questions
Usually not, but persistent or severe symptoms always deserve investigation to rule out other causes. Feel free to discuss this with the doctor during the intake.
The same hormonal disruption that causes hot flashes can also affect heart rhythm. The two symptoms are often connected.
For persistent, severe, or unexplained symptoms, a cardiology check-up is wise. The doctor at Menovia can advise on this and refer you if needed.
Since May 2026, part of the consultations are reimbursed through supplementary insurance, depending on your insurer and policy.
Want to know more?
Go to our frequently asked questions
Experiences from other women
Start with personal hormonal guidance
Want to find out whether hormone therapy is right for you and what your body needs during menopause? Schedule an intake consultation with Menovia.
