Racing or pounding
Your heartbeat may suddenly feel fast or forceful in your chest, throat, or neck.
Heart palpitations
A racing or skipping heart should not be waved away.
Palpitations can coincide with menopause, but anemia, thyroid disease, medicines, stimulants, and heart rhythm conditions can feel the same.
Palpitations can feel fast, forceful, or irregular.
Palpitations may feel like racing, pounding, fluttering, skipped, extra, faster, or slower beats.
Fluttering or skipping
You may notice an extra beat, a pause, or an irregular flutter that comes and goes.
Symptoms around the episode
Heat, sweating, anxiety, dizziness, breathlessness, or chest discomfort may occur at the same time.
Menopause can coincide with palpitations, but rhythm still matters.
Hot flashes and hormonal shifts may overlap with awareness of heartbeat. Arrhythmia, anemia, thyroid disease, medicines, stimulants, and electrolyte problems also need consideration.
Timing and triggers
Episodes during a hot flash, after caffeine, at rest, or with exertion can point toward different next steps.
Medicines and medical causes
Decongestants, stimulants, thyroid conditions, anemia, and other conditions can change heart rate or rhythm.
Associated symptoms
Chest pain, fainting, severe breathlessness, or episodes with exercise raise the urgency of cardiac evaluation.
Capture the rhythm and look for the cause.
Evaluation depends on episode timing, duration, associated symptoms, medicines, health history, and whether the rhythm can be recorded.
ApproachWhat it may includeWhat to know
Document the episode
Timing, duration, pulse or wearable data, triggers, medicines, and associated symptoms.
A symptom record can help connect the feeling to a rhythm and guide urgency.
Evaluate the heart and health
ECG, blood count, thyroid or electrolyte testing, and ambulatory monitoring when indicated.
Testing is selected from the pattern and risk factors.
Treat the identified cause
Arrhythmia care, medicine or stimulant changes, treatment for anemia or thyroid disease, and menopause symptom care.
Menopause treatment belongs in the plan only after dangerous and treatable causes remain visible.
Clinical care, built around the whole picture
We take the heartbeat seriously.
Our clinicians recognize menopause overlap while guiding the ECG, laboratory, monitoring, or urgent evaluation that the pattern may require.
Start with the pattern
We review timing, triggers, medicines, associated symptoms, health history, and what has changed.
Protect the differential
Menopause may overlap, but we keep gastrointestinal, cardiac, dermatologic, neurologic, oral, and eye conditions visible.
Guide the right next step
We explain what virtual care can address and when testing or an in-person specialist is the safer path.
Clinical leadership
Barbra Hanna, DO, FACOG, MSCP
Founder, board-certified OB/GYN, Menopause Society Certified Practitioner
Meet the care teamGet the pattern reviewed, not dismissed.
Meet virtually with a menopause specialist to discuss palpitations that are not accompanied by emergency symptoms.
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Most major commercial insurance plans accepted.
Coverage varies by plan and location. Not currently accepting Medicare, Medicaid, or HMO plans.