“Smoking can cause more severe and frequent hot flushes
and night sweats, which can disrupt sleep.
Smoking and drug use can also increase your risk of…”.1

Umbrella

What may the Hormone Therapy and Smoking Umbrella include?

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

  • Estrogen Therapy (ET)
  • Estrogen Plus Progestogen Therapy (EPT)
  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Menopausal Hormone Therapy (MHT)
  • Smoking

Hot Flushes and Night Sweats

Is there an association between smoking, hot flushes and night sweats?

In Looking After Yourself Around the Time of Menopause: How Alcohol and Smoking Can Impact You At Menopause the (Australian) Jean Hailes for Women’s Health note:

“Smoking can cause more severe and frequent hot flushes and night sweats, which can disrupt sleep. Smoking and drug use can also increase your risk of developing serious health conditions”.2

Smoking Cessation

What are smokers encouraged to do?

In The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Considerations for All Women At Menopause: General Advice for Symptom Management, published online 30 October 2023, the authors note:

“Overweight and obesity, and smoking are risk factors for VMS. Weight reduction may result in reduced VMS in overweight women, and smoking cessation should be encouraged”.3

What is VMS?

VMS can be an abbreviation for Vasomotor Symptoms.

Quit Smoking Guide

Where may I find a quit smoking guide?

Your Country may have a quit smoking guide similar to the (United States) Smokefree.gov’s Quit Methods, the NHS’s Quit Smoking or Australia’s Quit website.

Quit Smoking Apps

Where may I find a quit smoking app?

Your Country may have a quit smoking app similar to Smokefree.gov’s quitSTART Quit Smoking App and the NHS Quit Smoking: NHS Quit Smoking App or Australia’s My QuitBuddy App.

Health Care Provider

If I am a smoker and choose to use HT, what are my risks?

If you are a smoker and choose to use HT, it may be in your best interest to also choose to talk to your health care provider about this.

In International Menopause Society (IMS) Recommendations and Key Messages on Women’s Midlife Health and Menopause:Conclusions, published 23 December 2025, the authors include:

“A well-balanced conversation informed by evidence-based recommendations is crucial to the ethical management of women’s midlife health and menopause.

Any treatment, hormonal or otherwise, should be underpinned by optimizing lifestyle, diet, exercise, avoiding or stopping smoking and minimizing alcohol consumption”.4

Health Topics A-Z

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

In Health Topics A-Z you may find:

Links

Where may I find Links related to Hormone Therapy and Smoking?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Looking After Yourself Around the Time of Menopause: How Alcohol and Smoking Can Impact You At Menopause. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-topics/menopause/looking-after-yourself-around-the-time-of-menopause/#section-how-alcohol-and-smoking-can-impact-you-at-menopause Accessed: 24 April 2026
  2. Looking After Yourself Around the Time of Menopause: How Alcohol and Smoking Can Impact You At Menopause. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-topics/menopause/looking-after-yourself-around-the-time-of-menopause/#section-how-alcohol-and-smoking-can-impact-you-at-menopause Accessed: 24 April 2026
  3. Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Considerations for All Women At Menopause: General Advice for Symptom Management. Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 24 April 2026
  4. Panay, N. et al. International Menopause Society (IMS) Recommendations and Key Messages on Women’s Midlife Health and Menopause: Conclusions. 23 December 2025 https://www.tandfonline.com/doi/full/10.1080/13697137.2025.2585487#abstract Accessed: 24 April 2026
Topic Last Updated: 24 April 2026 – Topic Last Reviewed: 24 April 2026