What are hot flashes?
Hot flashes are sudden feelings of warmth that spread across the face and body. They can also cause sweating. Hot flashes are a common symptom of menopause, which marks the end of a woman's menstrual cycles.
The medical term for hot flashes is vasomotor symptoms (VMS). They occur when female hormone levels fluctuate or decline. This affects the body's temperature regulation. Estrogen levels start to vary as a woman approaches menopause. Hot flashes can start several years before a woman's last period.
What causes hot flashes?
The exact cause is unknown but they seem to be related to changes in circulation. When hot flashes begin, blood vessels near the skin's surface dilate rapidly. This allows more blood to flow to the surface. The increased blood flow warms the skin, causing sweating.
*Here are some factors that can trigger hot flashes:*
- Perimenopause - the transition stage before menopause
- Menopause - when estrogen levels decline
- Hysterectomy - surgical removal of the uterus
- Cancer treatments - chemotherapy, hormone therapy, etc.
- Other medications - blood pressure drugs, opioids, etc.
- Stress, anxiety, warm environments
- Caffeine, alcohol, spicy foods
What are the symptoms of hot flashes?
The intense warmth spreads quickly from the chest to the neck and head. Other common sensations include:
- Sweating and flushed, red skin
- Chills as the hot flash subsides
- Heart palpitations
- Anxiety or irritability
- Feeling lightheaded or weak
- Difficulty sleeping due to night sweats
Hot flashes can last from 30 seconds to several minutes. The frequency varies from one or two per day to one per hour. Most women have hot flashes for 1-5 years but they may persist for 10 or more years.
How are hot flashes diagnosed?
Doctors can often diagnose hot flashes based on symptoms alone. However, tests may be ordered to rule out other conditions like infections, thyroid disorders, or cardiovascular disease.
- Physical exam
- Blood tests
- Menopause lab tests - FSH, estradiol
- Imaging - chest X-ray, EKG, etc.
What are hot flash treatments and home remedies?
*Here are some tips for managing hot flashes:*
- Hormone therapy (HT) - Estrogen or progesterone supplements can reduce hot flashes. Talk to your doctor about the benefits and risks. Brands like Balance Hormone ClinicBalance from Balance Hormone Clinic offer customized bioidentical hormone therapy.
- Stay cool - use fans, dress in layers, lower the thermostat
- Avoid triggers - hot drinks, spicy foods, caffeine, alcohol, stress
- Try over-the-counter supplements - black cohosh, vitamin E, flaxseed
- Practice relaxation techniques - paced breathing, yoga, mindfulness
- Regular exercise may decrease hot flash frequency
- Keep a symptom diary - track your hot flashes and identify triggers
- Consider cognitive behavioral therapy if hot flashes interfere with daily life
If lifestyle changes don't relieve your hot flashes, consult your healthcare provider about prescription medications or specialized treatment options. With an individualized approach, most women can find an effective hot flash treatment. Don't hesitate to reach out to the caring professionals at Balance Hormone Clinic.