During menopause the majority of women will experience both emotional and physical symptoms. The most common symptom that women complain about are hot flushes and night sweats. More than 57% of all women will experience these two symptoms during their menopause years.
These symptoms most commonly begin between the age of 45 and 49 years and women with moderate to severe hot flushes may continue to experience them for an average of 10 years. Some women may continue with hot flushes and sweats beyond the age of 80.
What are hot flushes?
Hot flushes are described as a sudden feeling of heat or warmth often accompanied by profuse sweating. It may also present itself as:
Hot flushes can continue for up to 30 minutes or more at a time or may be as short as just a few seconds. The sensation often begins in the face or chest and may spread throughout the body. The surface of the skin often feels hot to the touch.
Hot flushes can sometimes be associated with other symptoms such as:
- Light headedness
- General feeling of being unwell
- Sleeplessness – constantly being woken by overheating and night sweats
- An overactive mind
You can also view the video on our YouTube page with Dr Gary speaking about Hot Flushes:
Dr. Aaron explained the symptoms of hot flashes and available treatments
How long will I be having hot flushes for?
Each woman is different and therefore their symptoms, severity and duration of symptoms will be different. According to a recent study carried out in the United States called the Study of Women’s Health Across the Nation (SWAN), vasomotor symptoms such as hot flushes and night sweats will last between 7 to 11 years.
One factor determining the duration of these symptoms is the timing of the onset of hot flushes and night sweats. If a woman begins to experience these symptoms prior to cessation of menstruation or during the peri-menopause stage then the symptoms average more than 11 years while women who are already post menopausal at the onset of symptoms averaged 3.4 years.
The typical hot flush experience
Mostly affecting the face and neck, hot flushes can also affect the whole body. Women report having to remove clothing and stand in front of the air conditioner or fan. The typical description: “Suddenly my face goes red, beads of sweat appear on my forehead and run down my face and neck accompanied with feeling hot and sticky.”
What causes and triggers hot flushes?
Hot flushes can be caused by hormonal fluctuations in the early stages of menopause and continue long after menopause has passed. They may only last a few months, but usually they will continue for many years.
Oestrogen levels decline in menopause and this appears to be the most common cause of hot flushes in women. These lower levels of oestrogen have a significant effect on the hypothalamus. Located in the brain, the hypothalamus controls the sex hormones, body temperature, sleep function and even appetite.
Although not completely understood, it is thought that the fall in oestrogen levels somehow affect the hypothalamus causing confusion whereby it senses that the body temperature is too hot, thus triggering hot flushes which is designed to cool down the body. More blood rushes to the skin, causing redness and sweating.
Hot flushes occur in the winter and the summer but seem to be more common in the summer months. Women having hot flushes often find themselves opening windows and doors or putting on the fan in the wintertime because they feel overheated. This can be inconvenient to those around who do feel the cold.
Other Factors that cause hot flushes:
- Spicy Foods
What can I do to prevent hot flushes?
Hormone deficiency is the recognised cause of hot flushes and so hormone replacement in the correct balance is the most effective way of treating these symptoms. Lifestyle changes can also make a difference in reducing hot flushes and sweats.
Lifestyle changes include:
- Stop smoking
- Improve diet
- Regular exercise
- Avoid spicy foods
- Avoid excess alcohol and caffeine
- Dress in layers
Treatment of Hot Flushes
Alternative Herbal Therapies:
Black cohosh is an herb native to Eastern North America.
Various studies conducted on black cohosh have shown potential benefits for people with menopausal symptoms however evidence of effectiveness is inconclusive.
Due to this and possible side effects on the liver and liver damage, use of Black Cohosh is not recommended long term.
Red Clover is a plant native to Europe, Western Asia and Northwest Africa. The flower top is the section of the plant that is used to produce medicinal products.
There have been mixed findings on the effectiveness of Red Clover for the treatment of hot flushes, night sweats and breast tenderness. Some research has shown that taking red clover by mouth for up to one year does not reduce these symptoms although some evidence suggests that certain products containing red clover reduces the severity of symptoms but not the frequency.
Red Clover may increase Oestrogen and therefore some symptoms can become worse by exposure to increased Oestrogen. Therefore, Red Clover products should only be used under professional advice.
Hormone Replacement Therapy
HRT (Hormone Replacement Therapy) involves the use of conjugated oestrogens, synthetic progestins or a combination of both in the treatment of menopause symptoms and hormonal imbalances.
Oestrogen only hormone therapy
Oestrogen only HRT can come in many forms:
- Pill – Most common treatment
- Patch – worn on the skin and replaced periodically
- Topical – Creams, gels or sprays
- Vaginal – Creams or pessaries used specifically for the treatment of vaginal dryness
Bio-identical Hormone Replacement Therapy (BHRT)
Bio-Identical hormones also known as body identical hormones have the exact molecular structure as those made in the human body. Bio-identical hormones can be extracted from a number of natural sources such as Wild Yam.
Bio-Identical hormones are prescribed by a doctor and usually compounded by a compounding pharmacist meaning patients can receive a customised treatment at the lowest possible effective dose.
There have been numerous studies on BHRT including the French E3N study which have shown effectiveness of micronized progesterone treatment with a reduced side effect and risk profile. Sadly, because BHRT cannot be commercialised by the large pharmaceutical companies, no large scale double blind placebo studies have been conducted and therefore BHRT remains a largely misunderstood form of treatment by many doctors.
If you are experiencing hot flushes (flashes) please do not hesitate to contact us on 1300 883 405 to book a free consultation and discuss this with one of our doctors.