Hormone Health Hub: Expert Insights on Testing, Balance & Better Living — menopause and cardiovascular health

Early menopause can cause a wide range of physical and emotional symptoms long before menopause officially begins. Learn the most common warning signs, including irregular periods, hot flashes, mood changes, sleep problems, fatigue, and hormonal imbalances, and discover when hormone testing may help provide answers.

Perimenopause is far more than a collection of symptoms to manage — it is a critical window of opportunity to protect long-term cardiovascular, skeletal, and cognitive health. The hormonal fluctuations of this transition are directly linked to cardiovascular risk, making proactive action during perimenopause one of the most important investments a woman can make in her future health. This article outlines a practical three-step perimenopausal game plan covering hormone replacement, resistance training, and time-restricted eating — grounded in current research and designed to build the physiological reserves needed for a healthy postmenopause.

The Women’s Health Initiative (WHI) trial cast a long shadow over hormone replacement therapy — but it enrolled women well over a decade past menopause. Two newer trials, ELITE and KEEPS, specifically studied HRT started early in the postmenopausal period. Their findings on cardiovascular health, sexual function, sleep, mood and cognition paint a more nuanced and encouraging picture. Here is what the latest research shows.