Starting hormone replacement therapy (HRT) can sometimes feel worse before it feels better. Learn which side effects are normal, what’s a red flag, and how personalized adjustments make hormone therapy safer and more effective.

Hormonal changes during perimenopause and menopause, including declines in estrogen and testosterone, can significantly impact heart health. These shifts increase the risk of heart disease, high blood pressure, and inflammation while contributing to higher cholesterol, arterial stiffness, and belly fat—key factors in cardiovascular health.

Explore how estrogen and testosterone protect your heart, the challenges that arise as these hormones decline, and actionable steps you can take to support your cardiovascular health and overall well-being during midlife.