So far, I have seen 4 different cardiologists, 3 of which are electrophysiologists who specialize in arrhythmias. I have had every test under the sun. I even wore a portable heart monitor for a month. I do not have A-fib, I have "ventricular tachycardia" and PVC's -- they have seen it on the monitor so they know exactly what the abnormal rhythm is. When I ask why it is happening, they say that some people are born with abnormal pathways in the heart that can get irritated and misfire, especially when exposed to things like caffeine, adrenaline (from exercise or stress) and hormonal changes. I have had bouts of palpitations on and off since I was in my 20s, but each time, cutting back on the caffeine fixed them. This was the first time I've had the VT as well as the palps, and while cutting back on caffeine helped a lot, it hasn't made them totally go away -- and like I said, they seem to be related to my menstrual cycle. So I'm guessing that if I was prone to palpitations my whole life because of some inborn tendency of my heart, menopause may be rough going for me....which is why I would consider the HRT, even though I am normally very anti-hormone meds in general (like I said, I've never even taken the pill). I did see the endocrinologist for a thyroid workup after one of my thyroid numbers came back abnormal. But apparently, it wasn't an important number because they tell me my thyroid is fine -- all the important numbers like TSH and T3 and T4 are right in normal range. I do have an appointment with a second endocrinologist in a couple weeks -- I made it a few months ago (she was out on maternity leave) before I saw the first endocrinologist and I figure it can't hurt to get another opinion on both the thyroid and the menopause stuff. Thanks for all the suggestions so far, and for the links. I will spend some time checking out those sites today and see if there's something I can try supplement-wise that might help before I go the HRT route. Please keep the feedback coming if you have any experience with any of this -- supplements, HRT, or menopause in general. I am so not ready for this, LOL!

Hi Lilli22 I UNDERSTAND. If you have not had your heart tested with an echocardiogram, I would consider that on my high priority list. This way you will rule out any heart disease. (Remember: Heart disease is the number one killer of women. Now that I have scared the daylights out of you, take a deep breath and keep reading. I KNOW what it feels like to suddenly out of the blue start having irregular heartbeats. April 11 2007 my world, as I knew it, came crashing down, when early one morning I stood up from my desk, climbed the stairs and when I reached the top I could not breath, my heart was pounding in my ears,my thigh muscles were quivering and I was near fainting. I am a retired nurse. I calmly found my blood pressure cuff and noted that both B/P and Heart Rate was rapidly accelerating. I called the rescue squad. Long story short, I was sent to a cardiologist where they proceeded to do a 24 hour holter monitor test. Diagnosis: non-specific tachycardia (rapid heart rate) that is "not to be concerned with." August 2007, I found myself back in the ER with the exact same symptons. This time my cardiologist ran the Echo. My heart is in fine working condition. While laying there having the test, I had a nice conversation with the technician who is about 47 and a very healthy runner. She told me she too has non-specific tachycardia and her heart will race up to 177 beats when she is sitting still and then will immediately drop back down to her normal resting heart rate. She works in the cardiology department and there is no reason for her racing heart, other than the theory that has yet to be "proven" by what appears to be an ignorant medical research society. That theory? Estrogen flucuation. If you go to reputable websites you can read this theory.. irregular heartbeats are connected to estrogen flucuation..there is just no proof. As far as your herbal usage I think it is wonderful that you are open to other means of treatment, however I have found that sometimes the very herbs we take can have a negative effect. By taking so many one would never know which one could have that effect. I do know from speaking with other ladies that Don Quai has negative side effects for some. I also know from personal experience that taking yam extract natural progesterone can have a negative side effect too. What I am saying is: I believe if I wasn't sure an herb was working I would want to know which ones were and how would you go about finding that out? By eliminating one at a time..just a suggestion. But first I would have that echo..just another suggestion and then if your tests are fine..perhaps you might need your thyroid medication adjusted. My mother had thyroid disease and she had to have her medication adjusted many times over her lifetime. That little "butterfly" at your throat can make ones heart flip flop unmercifully.It is such a powerful mechanism that is so readily overlooked by the medical profession. Now for what I do..sometimes I am like my name "serenely frantic" meaning I may look calm on the outside but on the inside I am going batty with the racing heart...but now that I know it is "the change" and I know that I am not going to die...I exercise..eat right...dropped my coffee to a small cup in the a.m., stay away from simple carbs, colas, negative people, anything containing stimulants, (over the counter cough, cold, or even prescription drugs) I also take time for me. It is a MUST as it appears that irregular heart beats are the norm for a lot of peri and post menopausal women. Now it appears that you are an educated researcher and advocate for yourself, so please make sure you have a doctor who takes you seriously. If they do not then it is time to move on. Hope this has been of some help and that I was not too blunt.

My gosh. I thought I was the only one in the world, and here you all are! I'm 55. I had an hysterectomy when I was 41 and my ovaries removed at 43. I have been on estrogen only HRT since I was 44 with no issues. I had a normal mammogram six months ago. I started taking methotrexate for arthritis six months ago and my extremely sore and swollen breasts seemed to start when I moved to the higher doses of that drug. I even had some evidence of lactation from my right breast. My GP ordered hormone tests and they all came back in the normal range except SHBG which is a protein that binds to sex hormones to carry them around in the blood stream. I also had a mammogram which showed enlarged ducts with some debris. (My boobs are trashed after breast-feeding five kids but nothing they did is anything on this pain and tenderness.) I missed a couple of doses of methotrexate (taken weekly) and my breast pain seemed to start to diminish. I also stopped my HRT because I was so desperate for some relief. After a month, the pain has substantially subsided but I still have a residual tingly burn and they haven decreased much in size. I am yet to have repeat hormone tests or a repeat mammogram. I will try the flaxseed recommended above and post anything else that changes.

Hi Christine, Yes! Nausea quite often. My Dr said the same. I am 58 and had a hysterectomy when I was 45. I am on Bio hormones which have not helped much. Still experiencing extreme fatigue, sweating not just at night, hot flashes, insomnia etc. It's been about 5 years now and it's been debilitating. What's worse is the nausea comes and goes. I felt better for about 6 months and then the nausea hit again! I notice I feel extremely flushed..sometimes start sweating and the nausea hits. Other times it is just constant. I try to eat hoping it will quell the nausea but to no avail. It's all very frustrating. The inconsistencies are the worst. I often cancel plans because I'm having an especially bad day. It's frustrating and I'm realizing this might be my new normal unfortunately. You are not alone with the nausea though!