Managing Cholesterol Levels during Menopause

Written by Veronica Yoo


Menopause is a natural biological process marking the end of a woman’s reproductive years. Along with various hormonal changes, menopause can also impact cholesterol levels, putting women at an increased risk of heart disease and other cardiovascular issues. As estrogen levels decline during menopause, there is a tendency for cholesterol levels to rise, particularly LDL cholesterol, also known as “bad cholesterol.” In this blog, we will explore the connection between menopause and cholesterol, understand the risks associated with high cholesterol, and provide practical tips to manage cholesterol levels during this transitional phase.

Understanding Cholesterol and its Importance:

Cholesterol is a waxy, fat-like substance found in our blood and cells. It is essential for various bodily functions, including the production of hormones, vitamin D, and bile acids for digestion. However, an excess of cholesterol in the blood can lead to the formation of plaque on artery walls, increasing the risk of heart disease and stroke.

There are two main types of cholesterol:

  1. Low-Density Lipoprotein (LDL) Cholesterol: Often referred to as “bad cholesterol,” LDL carries cholesterol to the cells. High levels of LDL cholesterol can lead to the accumulation of plaque in the arteries.
  2. High-Density Lipoprotein (HDL) Cholesterol: Known as “good cholesterol,” HDL helps transport excess cholesterol back to the liver, where it can be eliminated from the body.

Cholesterol Levels and Menopause:

During menopause, declining estrogen levels can lead to an increase in LDL cholesterol and a decrease in HDL cholesterol. Additionally, menopause is a time when women often experience weight gain and changes in metabolism, further influencing cholesterol levels.

High cholesterol levels during menopause can be particularly concerning because women already face an increased risk of heart disease as they age. Hence, it becomes vital for women to be proactive in managing their cholesterol levels during this phase of life.

Tips for Managing Cholesterol Levels during Menopause:

  1. Adopt a Heart-Healthy Diet:

A balanced and heart-healthy diet is crucial for managing cholesterol levels. Focus on incorporating the following into your daily meals:

  • Fruits and vegetables: Aim for a variety of colorful fruits and vegetables, as they are rich in antioxidants and fiber, which help lower LDL cholesterol.
  • Whole grains: Choose whole grains like brown rice, quinoa, oats, and whole wheat over refined grains to improve heart health.
  • Healthy fats: Opt for monounsaturated and polyunsaturated fats found in olive oil, avocados, nuts, and seeds. These fats can help raise HDL cholesterol and lower LDL cholesterol.
  • Omega-3 fatty acids: Include fatty fish (such as salmon, mackerel, and sardines), flaxseeds, and chia seeds in your diet to boost HDL cholesterol and lower triglycerides.
  • Limit saturated and trans fats: Minimize intake of red meat, full-fat dairy products, and processed foods containing trans fats, as they can raise LDL cholesterol levels.
  1. Stay Active:

Regular physical activity can help maintain healthy cholesterol levels. Engage in activities you enjoy, such as walking, swimming, cycling, or yoga. Aim for at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous-intensity aerobic exercise per week, along with muscle-strengthening activities on two or more days a week.

  1. Manage Weight:

Weight gain during menopause is common, and it can contribute to higher cholesterol levels. Focus on maintaining a healthy weight through a combination of a balanced diet and regular exercise.

  1. Quit Smoking:

If you smoke, quitting is one of the best things you can do for your heart health. Smoking not only lowers HDL cholesterol but also damages blood vessels, increasing the risk of heart disease.

  1. Limit Alcohol Consumption:

Moderate alcohol consumption may have some heart health benefits, but excessive drinking can raise triglyceride levels and contribute to weight gain. Limit alcohol intake to one drink per day for women.

  1. Control Stress:

Chronic stress can impact cholesterol levels and overall heart health. Incorporate stress-reducing techniques into your daily routine, such as meditation, deep breathing exercises, or spending time in nature.

  1. Regular Health Check-ups:

Regular visits to your healthcare provider are essential for monitoring cholesterol levels, blood pressure, and other cardiovascular risk factors. Based on your individual health status, your doctor may recommend cholesterol-lowering medications (statins) if necessary.


Menopause is a significant transitional phase in a woman’s life, and managing cholesterol levels during this time is crucial for maintaining heart health and preventing cardiovascular diseases. By adopting a heart-healthy lifestyle that includes a nutritious diet, regular exercise, stress management, and avoiding harmful habits, women can navigate through menopause with improved overall health and well-being. Always remember to consult with your healthcare provider for personalized advice and guidance on managing cholesterol levels effectively. Taking proactive steps now can lead to a healthier and more vibrant life during and beyond menopause.

Veronica Yoo

Veronica is dedicated and experienced nutritionist and certified health coach who specializes in functional medicine, She's a published author, nutritional instructor, WBFF professional figure athlete, and both the brains and beauty behind all that Makeover Nutrition offers.

Veronica is also the President & CEO of a BC based health and wellness association; Pacific Alliance of Body Care.