Managing High Blood Pressure and Cholesterol in Midlife
Why Heart Risks Increase in Midlife
Hormonal shifts during menopause and andropause, changes in metabolism, increased stress, and even subtle lifestyle shifts can all raise your risk of high blood pressure (hypertension) and elevated cholesterol levels. These are key risk factors for heart disease—the leading cause of death in both women and men.
But the onset of risk does not mean the onset of disease. Midlife is the perfect window to intervene and protect your future health.
Lifestyle Changes That Work
Diet and exercise:
A heart-healthy lifestyle can reduce the need for medication or enhance its effectiveness. This includes:
Eating more plants: fruits, vegetables, legumes, and whole grains
Limiting saturated fats and added sugars
Choosing healthy fats (like those in olive oil, nuts, and fish)
Moving regularly: aim for 150 minutes of moderate activity weekly
Small, consistent habits often make the biggest difference.
Monitoring Your Numbers
How often to check:
Blood pressure should be checked annually—or more frequently if it’s borderline or high. Cholesterol screening is typically done every 4–6 years in healthy adults, but midlife may call for more frequent assessments.
At Serene Primary Care, we individualize screening schedules based on your full health picture, not just your age.
When to Start Medication
Sometimes, lifestyle changes aren’t enough—and that’s okay. Medications for blood pressure and cholesterol can be life-saving when used thoughtfully.
We’ll weigh your overall cardiovascular risk, family history, and lifestyle before deciding together whether it’s time to start medication. And if it is, we’ll choose the safest, most effective option based on your unique needs.
Differences in Risk: Men vs. Women
Women’s risk of heart disease rises sharply after menopause, while men tend to see elevated risks earlier. Symptoms and risk factors can also present differently between genders, making personalized care even more essential.
Working with Your Provider
Your heart health is not a one-size-fits-all journey. Whether we’re focused on prevention or active treatment, I’m here to support you with compassion, evidence-based care, and a commitment to truly listening.
Together, we’ll track your progress, adjust your plan as needed, and ensure you always feel informed and supported.
Experience a new kind of care - Schedule your inquiry call today and let’s create a heart health plan that supports your vitality, now and into the future.