Millions of women may be unknowingly pursuing heart, renal, and metabolic disorders. Experts argue that a significant awareness campaign is necessary.  A growing corpus of medical research reveals that disorders with the heart, kidneys, and metabolism are frequently associated. We refer to this link as Cardiovascular-Kidney-Metabolic (CKM) Health. When one system fails, it affects the others, increasing the risk of life-threatening disorders such as heart attacks and renal failure. 

While heart disease is the greatest cause of mortality in women, many are ignorant of the symptoms. "Despite heart disease being the leading cause of death for women, most are unaware of their risk," said Dr Sadiya Khan, a top heart specialist at Northwestern University. 

Nearly 45% of women over the age of 20 have some type of cardiovascular disease, and one in every three will die as a result. What's more concerning is that women with type 2 diabetes or chronic renal disease can have a high heart disease risk up to nine years earlier than those without these illnesses. Women with both had a 26-year shorter timeframe. 

Unlike males, women may not exhibit the usual symptoms of a heart attack. Instead of acute chest pain, people may have pain in the arms, jaw, or neck. Signs may include shortness of breath, tiredness, or nausea. 

"Many of these conditions don't cause noticeable symptoms until they're advanced," added the doctor. "That's why routine screening is critical." 

Maintaining excellent health is more than simply how people feel on a daily basis; it is also about measuring crucial internal markers that reflect how your body functions under the surface. Among the most essential are cardiovascular, metabolic, and kidney-related signs, which frequently function together. For example, keeping blood pressure below 120/80 mm Hg puts less burden on the heart and kidneys, while keeping triglycerides under 135 mg/dL and HDL cholesterol above 50 mg/dL promotes healthy blood vessels and reduces the risk of heart disease. Excess abdominal fat is intimately connected to insulin resistance and chronic inflammation; thus, waist size and BMI are both important—especially for Asian women, where the thresholds are lower (31 inches for waist and a BMI under 23). In terms of insulin, monitoring blood sugar levels (70-99 mg/dL fasting) and long-term control via A1C (preferably less than 5.7%) will help prevent diabetes and related consequences. Finally, kidney function, which is commonly assessed by eGFR (above 90) and urine protein levels (UACR < 30 mg/g), gives information on how well your kidneys filter waste and regulate blood pressure. Together, these markers provide a full picture of your health, allowing you to spot early signs of disease and take preventive measures. 

If even one of these measurements is inaccurate, it could disrupt the balance of the others. However, the good news is that improving one can help stabilise another. A healthier diet, improved sleep, regular exercise, and medication when needed can all make a significant difference. 

Health problems during pregnancy, such as high blood pressure, diabetes, or preeclampsia, can raise the chance of chronic illness later in life. "Each pregnancy is a window into later heart, kidney, and metabolic health," explained Dr Janani Rangaswami, a kidney expert and medical professor. 

Menopause is a significant turning point. During this time, lower oestrogen, more belly fat, and higher cholesterol all raise the risk. Early menopause (before the age of 45) is particularly problematic. 

Social conditions have a significant impact on women's health in addition to biological factors. Women are more prone than men to postpone treatment owing to expense, and they are frequently under-represented in clinical trials. Marriage, surprisingly, is associated with poorer health outcomes in women. Barriers to providing inexpensive, respectful, and effective care remain common. 

"Women may be told that their heart symptoms are anxiety," explained Dr Khan. "People often dismiss their health concerns." 

That is why doctors advise women to monitor their health statistics, include their pregnancy history in medical records, and speak up during doctor visits. 

"Having your own health advocate can be your best defence," Dr. Rangaswami explained.