🌀 POTS + Perimenopause or Menopause? Hormones may be part of the picture. 🌀 Many women with POTS (Postural Orthostatic Tachycardia Syndrome) notice their symptoms worsen during hormonal transition, more dizziness, tachycardia, fatigue, and brain fog. That’s not in your head. 🧠 Why hormones matter: Estrogen plays a role in: • Blood vessel tone • Blood volume regulation • Autonomic nervous system balance When estrogen declines, orthostatic intolerance can intensify. 💡 Can HRT help? For some women, yes. Thoughtfully prescribed HRT may: ✔ Improve vascular tone ✔ Reduce blood pooling ✔ Stabilize autonomic swings ✔ Ease fatigue and brain fog ⚠️ Important notes: • HRT is not a cure for POTS • Results are individualized • Transdermal estrogen is often better tolerated • Progesterone choice and dosing matter ✨ Bottom line: If your POTS worsened during perimenopause or menopause, HRT may be a supportive tool—not just for hot flashes, but for autonomic stability too. 📌 Always discuss...