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Early Menopause Linked to 40% Higher Risk of Cardiovascular Disease

Rubenhair Latvia
2 min read
14.03.2026
Early Menopause Linked to 40% Higher Risk of Cardiovascular Disease

**Understanding the Link Between Premature Menopause and Heart Health** Premature menopause, which occurs when the ovaries stop functioning and menstrual periods end before age 40, has been linked to a higher risk of coronary artery disease.

**Understanding the Link Between Premature Menopause and Heart Health**

Premature menopause, which occurs when the ovaries stop functioning and menstrual periods end before age 40, has been linked to a higher risk of coronary artery disease.

  • Women who experience natural menopause before age 40 face a 40% higher lifetime risk of coronary heart disease.
  • Black women are three times as likely to experience premature menopause as white women.
  • Untreated menopause symptoms, such as night sweats and sleep disturbances, can undermine healthy habits that lower cardiovascular risk.
  • Experts recommend that women discuss their menopause history with their doctors and focus on blood pressure, cholesterol, strength training, and stress management to protect long-term heart health.

A recent study published in JAMA Cardiology found that premature menopause occurs when the ovaries stop functioning and menstrual periods end before age 40. The study analyzed data from over 10,000 postmenopausal women across six major U.S. population-based studies from 1964 to 2018.

The researchers discovered that the 40% higher lifetime risk of heart attack or fatal coronary heart disease held up regardless of race. Lead study author Priya Freaney, MD, emphasized that these findings should be viewed as empowering, not alarming, and that implementing prevention strategies early on can have a significant impact on long-term health.

**The Impact of Early Menopause on Heart Health**

Stephanie Faubion, MD, medical director of The Menopause Society, explained that the connection between menopause and heart health stems from the loss of estrogen, which promotes heart, brain, and bone health. Freaney described a cascade of changes that occur as natural estrogen declines, including decreased muscle mass, increased visceral fat, stiffened arteries, higher cholesterol levels, and elevated blood pressure.

**Black Women Face Higher Risk of Premature Menopause**

The study found that Black women experience premature menopause at more than three times the rate of white women — 15.5% compared with 4.8%. While the increased risk of heart disease applied regardless of race, the sheer frequency of premature menopause among Black women means the condition carries a far greater population-level impact.

Black women with premature menopause lived an average of 18.2 years free of heart disease, highlighting the importance of early detection and prevention strategies for this population.

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