Conversation: The conversation between human and AI assistant.
[|Human|] I was diagnosed with MVP and Autonomic Nerve Disorder roughly 10 years ago. Apparently, I had it all my life but was not diagnosed until my heart went flip flop right after surgery. I am fixing to turn 44 this week, and have noticed that my heart palpitates (far more than usual) a week prior to my menstrual cycle. As soon as my cycle starts, the palps are as normal....here and there....Is this a sign of menopause? If so, I am ready to jump with excitement!
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! Your symptoms are not related to menopause. They could be related to anxiety or low blood pressure. During menstrual cycle your body loses blood, and it can aggravate chronic anemia or low blood pressure. I recommend you to closely monitor your blood pressure during those days and perform a complete blood work to exclude possible chronic anemia. An ambulatory 24-48 hours ECG monitoring may be necessary to examine your heart rhythm trends during the day and exclude possible cardiac arrhythmia. A head up tilt test would be necessary to exclude possible orthostatic intolerance, which is a part of autonomic nervous system dysfunction. Hope you will find this answer helpful! Greetings!