Hormone Therapy and Hot Flushes

Hormone Therapy and Hot Flushes

“MHT is the most effective treatment for VMS.
Where available, it should therefore be offered to women
with bothersome VMS who do not have significant…”.1

Umbrella

What may the Hormone Therapy and Hot Flushes Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Hot Flashes
  • Hot Flushes
  • Menopausal Hormone Therapy (MHT)

Hormone Therapies

What are hormone therapies?

DotS the definition of hormone therapies may vary. The Menopause Society’s (formerly the North American Menopause Society) definition is:

“Hormone therapies (HT), sometimes mistakenly called hormone replacement therapy, are the prescription drugs used most often to treat menopause symptoms such as hot flashes and genitourinary syndrome of menopause (GSM), which includes vaginal dryness after menopause”.2

Effective or Not

Is hormone therapy or menopause hormone therapy (MHT) the most effective treatment for hot flushes?

In International Menopause Society (IMS) Recommendations and Key Messages on Women’s Midlife Health and Menopause. 4a. Vasomotor Symptoms/Menopause Hormone Therapy, published online: 23 December 2025, the authors include:

  • “MHT is the most effective treatment for VMS. Where available, it should therefore be offered to women with bothersome VMS who do not have significant contraindications or are not MHT averse. ⨁⨁⨁⨁ A
  • When used for the treatment of VMS, MHT is typically recommended to women younger than 60 years old or within 10 years of menopause after a full evaluation of benefits and risks. ⨁⨁⨁⨁ A
  • HCPs should be aware that both transdermal and oral estrogen routes are effective in treating VMS, with low to moderate doses of MHT alleviating symptoms in more than 80% of postmenopausal women. ⨁⨁⨁⨁ A”.3

What is VMS?

In this context VMS is an abbreviation for Vasomotor Symptoms also known as hot flushes and night sweats.

What is HCP?

In this context HCP is an abbreviation for Healthcare Professionals.

Potential Benefits

Do the potential benefits of HT outweigh the potential risks when taking HT for the treatment of hot flushes?

In Hot Flashes: Diagnosis & Treatment – Diagnosis: Treatment the (United States) Mayo Clinic note:

“The best way to relieve hot flashes is to take estrogen. But taking this hormone carries risks. If estrogen is right for you and you start it within 10 years of your last menstrual period or before age 60, the plusses can be greater than the risks”.4

Potential Risks

What are the potential risks when taking HT for the treatment of hot flushes?

In Hormone Therapy: Is Hormone Therapy Safe? the Menopause Society explain:

“For most women, experts agree that HT helps to control moderate to severe menopause symptoms such as hot flashes when initiated within 10 years of onset of menopause or under age 60 years.

You and your healthcare professional need to balance your individual benefits and risks based on your medical history. For example, if you don’t have a uterus and can take ET alone, your risks are different from those women who still have a uterus and must use EPT to protect against uterine cancer”.5

What is ET?

In this context ET is an abbreviation for Estrogen Therapy.

What is EPT?

In this context EPT is an abbreviation for Estrogen Plus Progestogen Therapy.

Health Care Provider

What if I choose to use HT for my hot flushes?

If you choose to use HT for your hot flushes, it may be in your best interest to also choose to talk to your health care provider about this.

On page two in the Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause, first published online 10 June 2022, one of the recommendations is:

  • “The decision whether to take HRT, the dose and duration of its use should be made on an individualised basis after discussing the benefits and risks with each patient. This should be considered in the context of the overall benefits obtained from using HRT including symptom control and improving quality of life as well as considering the bone and cardiovascular benefits associated with HRT use. Discussions with women should also cover aspects such as when to consider stopping HRT and how this can be done (by gradually reducing the dose of HRT). No arbitrary limits should be set on age or duration of HRT intake”.6

Health Topics A-Z

Where may I find Health Topics A-Z related to Hormone Therapy and Hot Flushes?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

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New or Updated

  1. 8 Myths and Truths About Menopausal Hot Flashes
  2. ACOG Explains: Managing Menopause Symptoms [American College of Obstetricians and Gynecologists]
  3. Askearlymenopause.org [Ask EM] [+ Video: What Is Early Menopause?]
  4. BMS TV: Bioidentical Hormones
  5. BMS TV: Hormone Replacement Therapy (HRT)
  6. Bioidentical Hormone Therapy
  7. Bioidentical Hormones: Are They Safer?
  8. Can You Have HRT If You Are Overweight?
  9. Consumer Video and Podcast Series: 2023 Consumer Videos and Podcasts – Premature and Early Menopause
  10. Consumer Video and Podcast Series: 2024 Consumer Videos and Podcasts – Preparing for Your Menopause Health Care Visit
  11. Deciding About Hormone Therapy
  12. Deciding About Hormone Therapy Use
  13. Evolving Approaches To Vasomotor Symptoms In Menopause: Novel Pathways and Emerging Therapies [Videos: 14 Episodes]
  14. Evolving Approaches To Vasomotor Symptoms In Menopause: Novel Pathways and Emerging Therapies – Special Report: Impact of Vasomotor Symptoms On Patient Quality of Life [Video: Episode 1]
  15. Find A Menopause Practitioner [United States and Other]
  16. Find A Practitioner [Australasian Menopause Society i.e. Australia and New Zealand]
  17. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  18. Finding the Right Hormone Treatments (HRT): Types, Doses and What Works
  19. HRT Questions Answered
  20. HRT – Types, Doses and Regimens
  21. Handling Hot Flushes and Night Sweats| Dr Louise Newson
  22. Hormone Replacement Therapy
  23. Hormone Replacement Therapy (HRT)
  24. Hormone Replacement Therapy (HRT): A Summary
  25. Hormone Replacement Therapy (HRT): Benefits and Risks
  26. Hormone Therapy
  27. Hormone Therapy for Menopause
  28. Hormone Therapy: Four Things A Mayo Clinic Women’s Health Specialist Wants You To Know [+ Video Courtesy: Mayo Clinic News Network. Name Super/CG: Taryn Smith, M.D./Internal Medicine/Mayo Clinic]
  29. Hormone Therapy: Is It Right for You?
  30. Hot Flashes
  31. Hot Flashes
  32. How To Find Relief for Hot Flashes At Night
  33. How To Manage Menopausal Symptoms: Managing Hot Flushes and Night Sweats
  34. International Menopause Society (IMS) Recommendations and Key Messages on Women’s Midlife Health and Menopause
  35. Is It Too Late To Start HRT?
  36. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause
  37. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Hormone Replacement Therapy (HRT) [+ Video: Is HRT Bad for You?]
  38. Menopausal Symptom Treatments
  39. Menopause
  40. Menopause
  41. Menopause
  42. Menopause Map: Downloadable Resources – My Personal Path Print Tools: Questions for Your Health Care Provider
    Hormone Therapy and Hot Flushes
  43. Menopause Map: Downloadable Resources – My Personal Path Print Tools: Symptom Tracker
  44. Menopause Symptoms and Relief
  45. Menopause Treatment
  46. Menopause and HRT: Fact and Fiction [Video]
  47. Menopause, Perimenopause, Hormone Therapy and Other Treatments With Madelyn Butler, MD [Podcast]
  48. Menopause Symptoms: Mayo Clinic Expert Outlines Hormone and Nonhormonal Therapies
  49. Menopause: Diagnosis & Treatment
  50. Menopause: How To Talk To Your Doctor
  51. Menopause: Identification and Management [NICE Guideline]
  52. Menopause: Identification and Management [NICE Guideline]
    Hormone Therapy
  53. Navigating Menopause Care Resource Guide
    Hormone Therapy and Hot Flushes
  54. Online Events [International Menopause Society]: IMS Partnership Symposia Series – What’s Hot? Options for Treatment of Hot Flushes 2025
  55. Online Events [International Menopause Society]: Past Webinars – 2026: New IMS Recommendations – Midlife Body Changes
  56. Perimenopause
  57. Perimenopause
  58. Perimenopause and Menopause Symptom Checklist
  59. Revised Global Consensus Statement on Menopausal Hormone Therapy
  60. Risks and Benefits of MHT
  61. Special Report: Managing Vasomotor Symptoms In Menopause [+ Video]
  62. The Menopause Society Statement on Misinformation Surrounding Hormone Therapy
  63. Types of Hormone Therapy
  64. Videos & Podcasts: Videos – Menopause and Hormone Therapy: Current Perspectives and Controversies
  65. What Are the Benefits and Risks of HRT?
  66. What Are the Most Common Symptoms of Menopause? And Which Can Hormone Therapy Treat?
  67. World Menopause Day 2024: Leaflet for Women – Menopause and Menopause Hormone Therapy [Multiply Languages]
    Hormone Therapy and Hot Flushes
  68. Your Daily Dose: Perimenopause, Don’t Suffer In Silence

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Panay, N., et al. International Menopause Society (IMS) Recommendations and Key Messages on Women’s Midlife Health and Menopause. Published Online: 23 December 2025. https://www.tandfonline.com/doi/full/10.1080/13697137.2025.2585487#abstract Accessed: 20 July 2026
  2. Hormone Therapy. Menopause Society https://menopause.org/patient-education/menopause-topics/hormone-therapy Accessed: 20 July 2026
  3. Panay, N., et al. International Menopause Society (IMS) Recommendations and Key Messages on Women’s Midlife Health and Menopause. Published Online: 23 December 2025. https://www.tandfonline.com/doi/full/10.1080/13697137.2025.2585487#abstract Accessed: 20 July 2026
  4. Hot Flashes: Diagnosis & Treatment – Diagnosis: Treatment. 04 March 2025. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/hot-flashes/diagnosis-treatment/drc-20352795 Accessed: 20 July 2026
  5. Hormone Therapy: Is Hormone Therapy Safe? Menopause Society https://menopause.org/patient-education/menopause-topics/hormone-therapy Accessed: 20 July 2026
  6. Hamoda, H, Mukherjee, A, Morris, E, Baldeweg, S. E., Jayasena, C. N., Briggs, P, Moger, S. Optimising the Menopause Transition: Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause. First Published Online 10 June 2022:2 https://journals.sagepub.com/doi/10.1177/20533691221104882 Accessed: 20 July 2026
Topic Last Updated: 20 July 2026 – Topic Last Reviewed: 20 July 2026

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