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Menopause marks the natural end of menstruation and fertility in people assigned female at birth. This transition usually occurs between the ages of 45 and 55, when the ovaries stop releasing eggs and hormone levels fluctuate.
Heart disease remains one of the leading causes of death among women, yet its warning signs are often overlooked or mistaken for menopause symptoms. Fatigue, hot flashes, or shortness of breath, for example, can mask underlying heart issues, causing many women to miss early warning signals.
To understand why this confusion happens and what to watch for, we spoke with Dr Asha Rani V., Assistant Professor at SDM College of Ayurveda and Hospital, Hassan, who shared her insights on recognising the signs of heart trouble in women.
Before periods fully stop, oestrogen levels begin to decline, a phase known as perimenopause. Women may start experiencing menopausal symptoms during perimenopause, even if their periods have not completely ceased.
Because of these hormonal changes, women between the ages of 45 and 50 are at a higher risk for heart-related issues, including heart attacks.
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Dr Rani explains that menopause and heart attacks can share certain symptoms, which is why many women may confuse one for the other. While chest discomfort, fatigue, or restlessness might seem like normal menopausal changes, they can sometimes signal something more serious. The key lies in how these symptoms appear, whether they are sudden, severe, or occur in combination.
Common overlapping symptoms include:
During perimenopause and menopause, usually between ages 45 and 55, hormonal shifts can trigger a variety of changes in the body. Some of these, like chest discomfort, fatigue, or palpitations, overlap with early signs of a heart attack, which makes them easy to misread.
Dr Rani explains that oestrogen plays a key role in protecting the heart by regulating cholesterol levels and supporting flexible, healthy blood vessels. “Oestrogen naturally helps reduce the buildup of fat in the arteries and keeps blood vessels healthy. When estrogen levels fall, it can lead to higher cholesterol, rising blood pressure, and weight gain, all of which increase the risk of heart disease,” she notes.
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Menopause itself isn’t a direct cause of heart attacks, but it is a turning point when women become more vulnerable to heart conditions. The loss of hormonal protection, combined with lifestyle factors, makes the risk of coronary artery disease and stroke higher. Experts stress that menopause should serve as a wake-up call, not only for reproductive health, but also for cardiovascular health.
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Suicides are one of the leading causes of death around the world. While it is easy to say that the person who chose to take their lives did it of their own violation, Harvard psychologist Dr. Matthew Nock, explains the other side. “90% of people who try and kill themselves say, I didn't want to die per se. I wanted to escape from seemingly intolerable.” Speaking on the On Purpose podcast with Jay Shetty, Dr. Nock pointed out that the link between work pressure and suicidal thoughts varies by race and ethnicity.
The concerning rise in suicide cases tied to work pressure has fueled a social media conversation about toxic work culture. What was once considered a normal part of the professional grind is now being openly challenged, as people share personal stories of the anxiety, depression, and isolation caused by unhealthy work environments.
According to Dr. Matthew Nock, certain careers are linked to a higher risk of suicide.
He noted that physicians and police officers are among those at high risk. He mentioned a spike in suicides among New York City police officers, who are predominantly white men, and shared that female police officers, in particular, face a higher risk, even when accounting for factors like age, race, and ethnicity.
According to a 2025 study published in the Police Practice and Research, on average, 21.4 out of every 100,000 officers died by suicide each year.
The study showed that the suicide rate was much higher for male officers (22.7 per 100,000) than for female officers (12.7 per 100,000).
Dr. Nock explained that access to means is a significant factor in these high-risk professions, which helps explain why physicians, police officers, and military members have a much higher risk of suicide compared to others.
Another study published in 2024 The BMJ, showed that the number of suicides among doctors has been going down, female doctors are still at a much higher risk than other people.
When looking at all the data, male doctors were found to have a 5% higher risk of suicide compared to the general population.
In a more recent analysis of the last few years, the overall suicide rate for doctors has decreased, which is good news. But even with this improvement, female doctors still have a 24% higher risk than the general public.
Dr. Nock stresses the importance of openly discussing suicide, particularly in schools. He compared it to fire drills or earthquake preparedness, saying that since 15% of people will experience suicidal thoughts, it's crucial to equip everyone with a safety plan..Dr. Matthew Nock said, "We know that asking about suicide, talking about suicide, does not make people suicidal."
He noted that the people who act on suicidal thoughts often show different signs than those who just have the thoughts. While depression is a strong predictor of having suicidal thoughts, other factors like anxiety, aggressiveness, poor behavioral control, and drug or alcohol use are more closely linked to a person actually attempting suicide.
He believes that a small educational module on suicide in health class could help save lives by teaching people what to do if they or someone they know is struggling.
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Maintaining our gut health is not as easy as it seems. Even things like how you do your bowel movements could reveal how healthy your gut actually is. According to Dr. Saurabh Sethi, a board-certified gastroenterologist, many of us are making common mistakes on the toilet that can lead to real health problems. Here are three crucial habits to change to improve your gut health. Here are three mistakes' people make will they are in the washroom.
Pushing or straining when you poop can cause serious issues like hemorrhoids, which are swollen veins in your rectum and anus, and anal fissures, which are small tears in the lining of your anus. In more severe cases, it can even lead to rectal prolapse, where part of the rectum slides out of the anus. Instead of forcing it, focus on taking deep breaths. This helps your abdominal muscles relax and allows your body to do its job naturally, reducing the risk of painful complications.
Scrolling on your phone while on the toilet can be a bad habit. Spending extra time on the toilet, even if you’re not straining, puts pressure on the delicate veins in your rectum. This can cause them to swell, significantly increasing your risk of hemorrhoids. To protect yourself, it’s best to keep your bathroom breaks short—ideally, under five minutes.
When you feel the need to poop, it's important not to hold it in, which makes it much more difficult to pass later, leading to and worsening constipation. When you feel the need to go, listen to your body. Holding it in causes your stool to get harder and drier, which makes constipation much worse and more painful later on. Train your gut to go when it says it's time.
Try to create a routine. If you're often straining without success, try sitting on the toilet about 30-60 minutes after a meal, when your colon is naturally more active. A little stretching or a short walk beforehand can also help things get moving.
The natural position for a bowel movement is squatting. You can mimic this position on a regular toilet by placing a small stool under your feet to raise your knees above your hips. This simple change helps your muscles relax and can make bowel movements easier and more complete.
Fiber is essential for creating soft stool that's easy to pass. Most adults should aim for 25 to 35 grams a day. Just remember to add it to your diet slowly. As you increase your fiber, be sure to drink more water and other non-caffeinated fluids, since caffeine can dehydrate you and make stool harder.
While these tips are a great starting point, sometimes you need more personalized help. You should talk to your doctor if you notice any of these signs:
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More than 122 million American adults have high blood pressure, and a shocking number of them don't even know it. This common condition, also known as hypertension, is often called the "silent killer" because it can go unnoticed for years, quietly damaging your health.
If you guessed high blood pressure, you’re correct. The new report revealed this alarming number, and what’s surprising is the number of people who know they have high blood pressure but do not feel the need to fix this.
The reason why high blood pressure is known as a silent killer is that it can go a long period without being detected (Colombia University Medical Center). Hence, the chances of you having high blood pressure and not knowing it are high. However, this causes many people to wonder why they need to look after their blood pressure, since they do not see a visible difference in themselves when they have it.
Experts explain, if left untreated, high blood pressure not only increases your chances of having heart diseases like heart attack, stroke, brain aneurysm- but also kidney failure, clogged arteries in legs and many more.
To ensure that you can, American Heart Association detailed what is considered high blood pressure and who is at most risk of it.
According to the 2017 medical guidelines, a person is considered to have high blood pressure if their top reading is 130 mmHg or higher or their bottom number is 80 mmHg or higher. This also includes anyone who has been diagnosed by a doctor at least twice or is already taking medication for the condition.
Doctors also use a special 24-hour monitor to get a more complete picture of your blood pressure and identify different types of hypertension:
Sustained hypertension: Your blood pressure is high both at the doctor's office and throughout the day.
White-coat hypertension: Your blood pressure is high only at the doctor’s office, but normal everywhere else.
Masked hypertension: Your blood pressure is normal at the doctor's office, but high when you're at home or going about your day.
Based on data from 2017 to 2020, about 122.4 million American adults (ages 20 and up) have high blood pressure—that's nearly half of the adult population. The risk of high blood pressure increases with age:
There are also differences between genders. Before age 65, more men have high blood pressure than women. After age 65, however, the trend reverses, and a higher percentage of women are affected.
It's also worth noting that 38% of American adults with high blood pressure don't know they have it. The prevalence also varies significantly by state, from a high of 40.2% in Mississippi to a low of 24.6% in Colorado.
The report revealed that Even after a diagnosis, staying on top of treatment can be tough. One study found that about 37% of people with a type of high blood pressure that is hard to treat don't take their medication as they should. This number is even higher—46%—when doctors directly measure the medicine in a person's system, compared to a lower 20% when people just report their own habits.
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