How Early Menopause Can Increase Risk of Heart Attacks
May 19, 2026
Women who go through early menopause may be at higher risk of heart attacks.
Experiencing menopause younger than 40 can be referred to as premature menopause, and with it comes a 40 percent higher risk of having a heart attack.
According to Tangela Anderson Tull, M.D., an OB/GYN with Hoffman and Associates OB/GYN, an all-female practice affiliated with The Family Childbirth and Children's Center at Mercy, cholesterol naturally increases with menopause, and that’s the biggest contributing factor to a possible heart attack. Blood pressure may rise too during menopause, which could also cause issues.
The good news is premature menopause is very rare; only about one to four percent of women experience it, Dr. Anderson-Tull said. For those under 40 who start experiencing less frequent periods, that may be a sign.
So, why does it happen?
“We don't really know what causes women to go through menopause early. So, [the] theory is that it’s environmental factors, stress levels. I’ve also heard or seen suggestions that women who go have their periods earlier may enter menopause earlier because they had a period for a total amount of time that’s a little bit longer. [An]other reason that we see… is go[ing] through menopause surgically, like they need a hysterectomy because of something like endometriosis, and they have their ovaries removed,” Dr. Anderson-Tull said.
A woman entering premature menopause means she has more time to develop issues from it. If this happens, doctors do usually recommend hormone replacement therapy to help.
The American Heart Association recommends exercise 30 minutes, five days a week—or 90 minutes, three days a week—to decrease any risk of health issues.
About Mercy
Founded in 1874 in Downtown Baltimore by the Sisters of Mercy, Mercy Medical Center is a 183-licensed bed, acute care, university-affiliated teaching hospital. Mercy has been recognized as a high-performing Maryland hospital (U.S. News & World Report); has achieved an overall 5-Star quality, safety, and patient experience rating (Centers for Medicare and Medicaid Services); is A-rated for Hospital Safety (Leapfrog Hospital Safety Grade); and is certified by the American Nurses Credentialing Center as a Magnet™ hospital. Mercy Health Services is a not-for-profit health system and the parent company of Mercy Medical Center and Mercy Personal Physicians.
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