It was more than six years ago when Laura Trammell took the day off from work in the human resources department at Corpus Christi City Hall for her son’s birthday. It was a day that changed her life.

After returning home from delivering cupcakes to her son’s school, she had an event that left her unable to speak or walk. Trammell suffered a brain aneurysm and a stroke.

In the battle of the sexes, here’s one that women – often unknowingly – take the lead in: About 55,000 more women than men have strokes every year. Strokes kill more women than men annually, making it the #3 leading cause of death in women.

“To say I was surprised about having a stroke is an understatement,” Trammell says. “I always thought a man would be more likely to have stroke than me. I found out the hard way that’s not true.”

This gender misconception about strokes is common, according to Dr. Michael Fuentes, Medical Director of Corpus Christi Rehabilitation Hospital. “Most people don’t realize that women suffer strokes more frequently than men,” he says. “If you’re a woman, you share a lot of the same risk factors for strokes as a man, but a woman’s risk also is influenced by hormones, reproductive health, pregnancy, child-birth and other gender-related factors.”

For example, birth control pills may double the risk of stroke, especially in women with high blood pressure or who smoke. And, according to the American Heart Association, hormone replacement therapy – once thought to reduce stroke risk – in fact, actually increases it.

A recent study shared through the National Stroke Association listed these factors that have been found to increase stroke risk in women:

  • Menstruation before the age of 10
  • Menopause before age 45
  • Low levels of the hormone dehydroepiandrosterone (DHEAS)
  • Taking oral estrogen or combined oral contraceptives

The study also showed a history of pregnancy complications can also indicate higher stroke risk.

These problems include gestational diabetes and high blood pressure during or immediately after pregnancy.

“Add this to other general risk factors for stroke like family history, high blood pressure, diabetes, high cholesterol, smoking, lack of exercise, and being overweight –and it becomes clearer as to why women can be more at risk for stroke than men,” Fuentes says.

Trammell was treated at a local hospital for initial care before being transferred to Corpus Christi Rehabilitation Hospital. She spent more than two months receiving rehabilitation to help her recover, which included daily physical, occupational, and speech therapy.

“Everyone there was just so wonderful,” she says. “I went into the rehabilitation hospital not able to talk or walk, and I’m able to do those things now. My words are hard to come by, but I can speak clearly. My hand and foot on the right side of my body don’t work well, but my arms and legs move. I’m so grateful that I’ve recovered this far.”

“Whatever stage of life a woman is in, it’s important that she be aware of all the risk factors of stroke,” Fuentes says. “As it’s often said, ‘knowledge is power.’ And in this case, the more knowledgeable a woman is about her stroke risk factors, the more she’ll be able to understand how she can be affected and work with her physician or healthcare provider as appropriate to reduce them.”

According to the National Stroke Association, physically active individuals have a 25-30 percent chance of lower risk of stroke than less active individuals. An easy way to incorporate exercise into your day is to walk. You can do it anywhere, it’s free, and it’s low impact so it can help build strong bones and muscles with a low risk of getting hurt.

Here are some tips to take a step in the right direction and get moving:

  • Before starting any exercise program, check with your physician.
  • Start small. Warm up at a slower pace for the first five minutes of your walk; then walk at a brisk pace to get your heart rate up. You should be breathing heavier, but still able to talk. Go back to a slower pace for the last five minutes of your walk.
  • Determine your own length of time that’s comfortable for you to walk at the beginning. Add a couple minutes to your walk every week.

Try to walk at least 5 days a week. Ultimately, you should aim for a minimum of 30 minutes per walk. But, if you can walk longer, go for it. This is one case where more can be better!