Impact on microvascular angina of hormone changes during menstrual cycle (peri-menopause)

[bee_bear]

Hello,

Looking at my diary across the past three months (not very long I know!) I'm noticing a higher incidence of angina in the middle of my cycle.

I'm interested to know if anyone else has noticed this and if you think it's down to a drop in oestrogen after ovulation directly impacting the vascular system?

Of course it could be completely unrelated/coincidental/down to cyclic behavioural changes causing angina.

Research seems inconclusive so far, so I'm just interested in women's experiences and thoughts on this.

Thanks

[Tos92]

I have vasospastic angina which is slightly different to microvascular angina. A number of women on a FB group that I am on have said that their angina is worse when they are on their menstrual cycle. The BHF also mentions that coronary artery spasms can be linked to a women’s menstrual cycle.

bhf.org.uk/informationsuppo...

I too have read that oestrogen deficiency or low oestrogen levels can contribute to coronary artery spasms and an increase in symptoms of microvascular angina. I personally, do not find that my spasms are worse during my menstrual cycle however.

I have attached the Facebook group below in case you were interested in finding out more information.

facebook.com/groups/2879606...

I hope others can provide more clarification on the link between menstrual cycles and microvascular angina.

All the best.

Tos

[Milkfairy Heart Star]

Hello,

There does seem to be some connection between increased episodes of coronary vasospasms and the menstrual cycle.

I live with Vasospastic angina rather than Microvascular angina.

My Cardiologist has discussed this connection of how changing hormone levels can increase our angina.

He has referred me to Gynaecologist for further advice about whether I should be prescribed oestrogen.

A mirena coil can help. They are often used to treat heavy periods and the menopause as well as being helpful in reducing the fluctuations of the hormones that can trigger coronary vasospasms.

I have you discussed this with your Cardiologist or GP?

It may be worth asking to be referred to a Gynaecologist.

This patient group gives some information about how fluctuating hormones can affect microvascular and vasospastic angina which you may find helpful.

internationalheartspasmsall...