Palpitations can be the most frightening and least understood symptom of menopause. One moment you are fine; the next, your heart lurches, skips, hammers, or seems to pause for an alarming beat. You might be told it is ‘just stress’ or ‘part of the change’—yet the sensation is real, and dismissing it helps no one. This book takes your experience seriously. It explains why fluctuating hormones can make the heart suddenly sensitive to adrenaline, caffeine, heat, and sleep loss, and why palpitations often arrive with hot flushes, panic, or the quiet of the night. You will learn how to track your own pattern, prepare for a productive medical appointment, and separate everyday rhythm changes from the red flags that genuinely need urgent care. You will also find practical ways to steady your nervous system, restore better sleep, and hold an informed conversation about HRT if that question feels relevant to you. Reclaim a sense of calm and confidence with your heart—not through platitudes, but through understanding and clear action. Part of The Menopause Companion Library.