What are the reasons for shortness of breath during menopause

Menopausal shortness of breath may be related to hormonal fluctuations, changes in cardiovascular function, emotional factors, anemia, chronic respiratory diseases, and other reasons. It is recommended to seek medical attention promptly to investigate the specific cause and follow medical advice for targeted treatment.

1. Hormonal fluctuations

The decrease in estrogen levels in menopausal women can affect autonomic nervous system regulation function, leading to increased sensitivity of the respiratory center. Some people may experience symptoms such as paroxysmal shortness of breath and chest tightness, usually accompanied by typical menopausal symptoms such as hot flashes and sweating. Symptoms can be alleviated through regular sleep patterns and deep breathing training.

2. Changes in cardiovascular function

After the protective effect of estrogen on the cardiovascular system weakens, coronary artery insufficiency or arrhythmia may occur. Dyspnea caused by this condition is often accompanied by chest pain and palpitations, and a clear diagnosis should be made through examinations such as electrocardiogram and echocardiography. Doctors may recommend taking medication to improve myocardial blood supply.

3. Emotional factors

Anxiety, depression, and other emotional disorders are highly prevalent during menopause, which may lead to hyperventilation syndrome. Patients often describe a feeling of suffocation due to inability to breathe, but their blood oxygen levels are normal. Psychological counseling combined with abdominal breathing training can help improve symptoms, and in severe cases, psychological intervention is needed.

4. Anemia

Chronic blood loss caused by menstrual disorders may lead to iron deficiency anemia, and a decrease in hemoglobin can result in insufficient tissue oxygen supply. In addition to difficulty breathing, patients often have symptoms such as pale complexion and fatigue. Confirmed through blood routine examination, supplementing with iron and vitamin C can improve symptoms.

3. Chronic respiratory diseases

Menopausal immune decline may trigger the recurrence of old diseases such as asthma and chronic obstructive pulmonary disease. The respiratory distress caused by such diseases often has characteristics such as wheezing and coughing, and needs to be diagnosed through lung function tests. Doctors will prescribe bronchodilators or corticosteroids based on the condition. When menopausal women experience difficulty breathing, it is recommended to record the time, cause, and accompanying symptoms of the onset. Maintaining moderate aerobic exercise such as brisk walking and swimming can help enhance cardiovascular function, and increasing the intake of foods rich in plant estrogens such as soy products and deep-sea fish in the diet. Avoid stimulating factors such as smoking and drinking, and elevate pillows appropriately during sleep to alleviate nighttime symptoms. If the symptoms continue to worsen or if there is hypoxia such as cyanosis of the lips, seek medical attention immediately.