Women approaching or currently in menopause may be at increased risk for developing heart disease, in part, due to volatie hormone fluctuations but also because neart disease risk increases with age. The underlying cause of this increased risk is connected to a decline in estrogen produc tion. Estrogen is protective of the heart, it improves the flexibility of the blood vessels and arteries, which is better for blood flow, Decreased flexibility of blood vessels increases the risk of heart disease and Stroke as we age. Estrogen also affects our lipid levels, so, the less estrogen our bodies are able to produce, the more likely we are to have elevated cholesterol, a leading marker for heart disease. While we cannot necessarily control when our periods will end, or the fact that we are all aging, there are many controllable lifestyle factors that we can manage in order to reduce our risk of heart disease.