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Publication:
Yale Medicine
Author:
CARRIE MACMILLAN
Date:
December 18, 2024
Article Summary
Hot Flush Fix Summary
Right, let's get into what Yale Medicine has to say about hot flushes, because they've put together quite a comprehensive piece that's worth discussing.
First off, let's be honest about the name "hot flash" or hot flush (as the British say) - one of their doctors points out, it underplays what actually happens.
For many women, these aren't just mild warm moments; they can be genuinely disabling. An estimated 75% of women experience them during menopause, and when they occur at night, they can completely ruin your sleep and leave you exhausted.
Here's what's actually going on in your body: when oestrogen levels drop, it affects a tiny collection of brain cells in your hypothalamus - think of them as the conductor of an orchestra that regulates your body temperature. When these cells get confused by fluctuating oestrogen, they suddenly reset your temperature control, triggering a hot flush. Your body then tries to cool you down by dilating blood vessels (hello, flushed face) and activating sweat glands. If it overshoots, you end up shivering afterwards.
The timeline is longer than many people realise, too. Hot flushes begin in perimenopause and studies show the stage can last four to eight years, and for some women, hot flushes may continue into their 60s and 70s.
Treatment-wise, there are options available. Menopausal hormone therapy (MHT) is still considered the most effective - it can include estrogen-only formulations or combination treatments with progesterone. There are also two FDA-approved non-hormonal medications: paroxetine (Brisdelle) and fezolinetant (Veozah). However, the FDA recently added a severe liver injury warning to Veozah in December 2024, which is worth noting.
The key takeaway? You don't have to suffer through this. Whether it's medication or lifestyle modifications like keeping your bedroom cool, using fans, or trying cognitive behavioural therapy, there are ways to manage hot flushes effectively.
Just a friendly reminder: I'm sharing what I've learned, not prescribing what you should do. Always chat with your GP about what's right for your unique situation!
The HotFlush Fix - Management Action Plan
UNDERSTANDING YOUR SYMPTOMS
- Track how often and how severe your hot flushes are over two weeks
- Note triggers such as stress, certain foods, and warm environments
IMMEDIATE COMFORT MEASURES
- Lower your bedroom temperature at night
- Layer your bedding so you can adjust it through the night
- Keep a portable fan nearby during the day
- Carry cold water bottles or cooling sprays
- Dress in natural, breathable fabrics in layers
MEDICAL DISCUSSION POINTS
- Book an appointment to discuss treatment options with your GP
- Ask about the suitability of hormone therapy for your situation
- Discuss non-hormonal alternatives if hormones aren't suitabl
- Review any medications that might worsen hot flushes
LIFESTYLE MODIFICATIONS
• Consider mind-body practices such as cognitive behavioural therapy
• Explore relaxation techniques and stress management tools
• Assess your bedroom setup (fans, cooling mattress toppers)
• Try drinking small amounts of cold water before bed
TREATMENT PATHWAY
• Understand that mild, infrequent flushes may not require medication
• Know that hormone therapy is most effective but isn't suitable for everyone
• Research non-hormonal options if you prefer or can’t use hormones
• Consider combining medication with lifestyle changes
LONG-TERM PLANNING
• Prepare for symptoms lasting 7 to 9 years on average
• Stay updated on new treatment developments
• Remember this phase will eventually pass
Remember: Hot flushes aren't "just part of being a woman" - they are a medical symptom with real treatments available. Don't suffer in silence when help is just a reach away.
