Swollen feet in the menopause: What causes them?
Author: Issviva Team
Reviewed by:
03 Mar 2025
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Have you noticed your swollen feet more often since you entered the menopause? You're not alone. Many women experience this discomfort, and while it may seem like a minor problem, it's actually a sign of how hormonal changes affect your body at this stage.
Here's why your feet swell and what to do to feel better.
Swollen feet during menopause are a common problem. This is largely due to hormonal changes. One of the key factors is a decrease in oestrogen, hormones that play an important role in circulation, fluid retention and the functioning of the lymphatic system.(1,2)
However, hormonal changes are not the only cause of swollen feet during menopause. Factors such as lifestyle, certain medications and diseases also play a major role(3).
The menopause is characterized by major changes in the female reproductive system, mainly in ovarian function and oestrogen production. When oestrogen levels drop, the lymphatic system becomes less efficient. This facilitates fluid retention in areas such as the feet, legs and knees and causes swelling.(2)
Oestrogen is also important for maintaining water balance in the body. During a woman's menstrual cycle, oestrogen varies and, along with it, fluid retention varies. So hormonal changes during menopause may be one of the causes of fluid retention.(1)
In addition to hormonal changes, some possible causes are:(3)
If you spend a lot of time standing or sitting without moving.
Being overweight.
A diet high in salt.
Use of certain medications such as hormone replacement therapy or blood pressure medication.
Heart, artery or vein disease.
kidney problems as a result of severe urinary tract infection or other diseases.
Swollen feet during menopause can be uncomfortable, but there are simple ways to relieve them. The first is to eat a good diet, as certain foods can contribute to fluid retention. Reducing salt intake is key. 3 In addition, there are several habits and natural remedies that can help.
Physical activity is essential to improve circulation and prevent swollen feet. It is recommended to do so:(3,4)
Gentle exercise, such as walking, swimming or making circular movements with your ankles to stimulate blood flow.
Change position from time to time if you spend a lot of time sitting or standing.
Elevate your legs to help fluid drainage.
Avoid wearing tight clothing that hinders circulation in the legs.
There are several natural options to help reduce swelling in the feet. For example: (4,5,3)
Specialized lymphatic drainage massages. A healthcare professional can teach you the precise technique.
Bandages or compression stockings to improve blood flow and prevent fluid build-up in the lower extremities.
Skin care with moisturizing creams or oils.
Use of repellents to avoid insect bites and infections.
Although swelling in the feet may be common during menopause, there are certain signs that indicate the need to consult a doctor. These are: (3)
Swelling that is sudden, intense or affects only one foot, which could be a sign of a more serious circulatory problem, such as deep vein thrombosis.
Skin that is red, hot or painful to the touch.
Difficulty breathing.
chest pain
significant weight gain in a short time
In addition, it is important to keep in touch with your gynaecologist. He or she will be your ally in the menopause and will give you recommendations to alleviate symptoms and prevent certain conditions such as vaginitis.
In summary, swollen feet during menopause are common and can be alleviated with dietary changes, exercise and natural options. However, if swelling is persistent or accompanied by other worrisome symptoms, it is important to consult a doctor to rule out more serious health problems.
Referencias bibliográficas
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