Cardiovascular disease is responsible for 35% of deaths in women each year – more than all cancers combined.

We talk a lot about breast cancer. We wear the ribbons. We go to the screenings. And rightly so. But heart health? It often slips under the radar for midlife women.

The truth is, cardiovascular disease (CVD) is the leading cause of death in women — and menopause plays a bigger role than many realise.

Oestrogen is incredibly protective for the heart. It helps:

• Regulate cholesterol

• Reduce fat build-up in the arteries

• Keep blood vessels flexible and healthy

As oestrogen levels decline during menopause, that protection drops. Arteries can narrow. Blood pressure can rise. Cholesterol can increase. The risk of heart attack and stroke goes up.

Common menopause-related changes that increase CVD risk:

• Weight gain (especially around the waist)

• Higher cholesterol

• Poorer blood sugar control

• Increased blood pressure

• More fat stored around the heart

These shifts aren’t about “letting yourself go.” They’re physiological. Hormonal. Real.

The good news? Lifestyle changes make a powerful difference. The right combination of movement, strength training, nutrition and stress management can significantly reduce risk - while also easing menopausal symptoms.

But I know this stage of life can feel overwhelming. When sleep is disrupted, energy is low and your body feels unfamiliar, it’s hard to know where to begin.

As a certified Menopause Movement coach, I’m trained in the evidence-based strategies midlife women need to protect their long-term heart health. I help women to feel confident, strong and supported through menopause and beyond.

If you’re in midlife (or approaching it), this conversation matters.

Let’s talk about midlife women’s heart health. Your heart deserves just as much attention as any other part of you.