High blood pressure in Perimenopause

Perimenopause is the most complex transitional phase - menstrual cycles become irregular, symptoms emerge, but pregnancy is still possible. Duration: 4-7 years average, up to 10 in some. Malaysian women typically enter perimenopause at 42-48 years. Blood pressure can start rising in midlife because vascular stiffness, sleep disruption, weight gain, stress, family history and metabolic risk often overlap. Do not judge it by symptoms alone; measure it at home or in clinic, repeat readings, and discuss persistent high readings with a doctor or Klinik Kesihatan. Lifestyle changes help, but supplements should not replace prescribed blood-pressure treatment.