Medical disclaimer: This information is for general guidance only. It does not diagnose, treat or replace advice from a GP, pharmacist or qualified healthcare professional.
Can menopause cause heart palpitations?
Some people notice palpitations during perimenopause or menopause, especially alongside hot flushes, anxiety or poor sleep. However, palpitations can also have non-menopause causes and should be taken seriously.
When to seek medical help
Seek urgent medical help for chest pain, fainting, severe breathlessness, sudden weakness, palpitations that feel sustained or severe, or symptoms that feel urgent.
If symptoms are severe, sudden, unusual or worrying, seek medical advice. If symptoms feel urgent, use NHS 111, your GP, 999 or local emergency services as appropriate.
Support options that may help
Depending on your situation, it may be useful to speak with a GP or qualified professional and explore support such as clinical menopause care, counselling, coaching, nutrition, physiotherapy or community support.
Find menopause support near you
Get the menopause symptom tracker
Join the list for practical menopause resources, directory updates and new support tools. Email integration can be connected to your email platform when ready.
Frequently asked questions
Is this definitely caused by menopause?
No. Symptoms can have several possible causes. Menopause may be one factor for some people, but it is sensible to seek medical advice if symptoms are new, severe, persistent or worrying.
What should I track before speaking to a GP?
Note when symptoms started, how often they happen, what makes them better or worse, cycle changes, sleep, stress, medication and impact on daily life.
Where can I find support?
Use The Menopause Directory to compare relevant support categories, then check qualifications, scope, fees and appointment format before booking.
Short answer
Menopause and perimenopause can be linked with changes such as heart palpitations, but they are not the only possible explanation. Hormonal change can affect sleep, temperature regulation, mood, joints, skin, bladder function and general wellbeing. At the same time, symptoms can also come from medication, stress, thyroid problems, low iron, infection, inflammatory conditions or other health issues.
What to notice
Try to record when the symptom started, whether it comes and goes, what seems to trigger it, and whether it appears alongside hot flushes, night sweats, cycle changes, sleep disruption, anxiety, low mood, pain or bladder symptoms. A short symptom diary can make a GP appointment much more focused.
When to speak to a clinician
Speak to a GP, pharmacist or qualified clinician if this is new, persistent, worsening, affecting daily life or happening alongside other symptoms. Ask whether menopause could be part of the picture, but also ask what else should be ruled out. This is especially important if the symptom is severe, sudden, one-sided, associated with chest pain, fainting, heavy bleeding, fever, unexplained weight loss or anything that feels urgent.
Useful questions to ask
- Could this symptom be related to perimenopause or menopause?
- Are there other causes we should check for?
- Would any blood tests, examination or medication review be appropriate?
- What options are available if symptoms are affecting sleep, work or relationships?
Where to get support next
If symptoms are affecting your sleep, work, relationships or day-to-day wellbeing, it is sensible to speak with your GP, pharmacist or a qualified menopause clinician. The Menopause Directory can also help you compare menopause symptoms hub Ask MenoAI.
This guide is general information only and is not a diagnosis or personalised medical advice. Seek urgent medical help if symptoms feel severe, sudden or worrying.
Useful UK references: NHS menopause information, NICE menopause guideline NG23 and British Menopause Society publications.
Author: The Menopause Directory
About this guide
This guide is published by The Menopause Directory editorial team to help UK readers understand menopause symptoms, support options and services. It is for general information only and should not replace advice from a GP, pharmacist or qualified menopause specialist.
Last reviewed by The Menopause Directory editorial team.