Hot Flushes Management

“During menopause, it’s important to look after yourself.
Healthy lifestyle choices will help to improve physical
and emotional symptoms at every stage of menopause”.1

Umbrella
What may the Hot Flushes Management Umbrella include?

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

  • Hot Flashes/Flushes Healthy Living
  • Hot Flashes/Flushes Management

Management

What may hot flushes management include?

DotS hot flushes management may include:

  1. Daily Pattern
  2. Triggers
  3. Healthy Lifestyle Choices
  4. Healthy Living
  5. Weight
  6. Alcohol
  7. Smoking
  8. Attitude
  9. Stress
  10. Relaxation, Meditation, Mindfulness and Yoga
  11. Paced Breathing
  12. Hypnosis
  13. Sleep
  14. Sex
  15. Natural Products
  16. Phytoestrogens
  17. Evening Primrose Oil
  18. Cure or Not
  19. Hormone Therapy
  20. Hormone Therapy Alternatives

1. Daily Pattern

Can hot flushes have a daily pattern?

In Who Gets Hot Flashes and When? the (United States) Breastcancer.org elaborate on:

“The most common time of onset is between six and eight in the morning, and between six to ten at night”.2

2. Triggers

What triggers can set off a hot flush?

In Hot Flashes: What Can Trigger A Hot Flash? the (United States) Cleveland Clinic elaborate:

“A trigger is something that can set off a hot flash. There are actually a lot of things in your normal life that could trigger a hot flash. Triggers of hot flashes can include:

  • Hot weather
  • Heat
  • Smoking
  • Caffeine
  • Alcohol
  • Spicy foods
  • Tight clothing
  • Stress”.3

In Hot Flashes: Diagnosis & Treatment – Lifestyle and Home Remedies the (United States) Mayo Clinic explain:

  • “Watch what you eat and drink. Hot and spicy foods, caffeinated beverages and alcohol can trigger hot flashes. Learn to recognize your triggers and avoid them”.4

3. Healthy Lifestyle Choices

Is there an association between health lifestyle choices and menopause symptoms?

In Looking After Yourself the (Australian) Jean Hailes for Women’s Health (JH) explain:

“During menopause, it’s important to look after yourself. Healthy lifestyle choices will help to improve physical and emotional symptoms at every stage of menopause”.5

4. Healthy Living

Is there an association between healthy living and hot flushes?

In NonHormonal Treatments for Menopausal Symptoms: Lifestyle Changes the Australasian Menopause Society elaborate on:

“Many women will benefit from lifestyle changes, stopping smoking, improving diet and regular exercise. These do not necessarily reduce symptoms but improve overall wellbeing and can make symptoms easier to tolerate. (Please refer to AMS Information Sheet Lifestyle and behavioural modifications for menopausal symptoms). Dressing in layers, avoiding spicy food and avoiding excess alcohol and caffeine may also assist”.6

5. Weight

Is there an association between weight and hot flushes?

In Managing Your Symptoms: Managing Hot Flushes and Night Sweats – Maintain A Healthy Weight the JH note:

“Maintaining a healthy weight may help to improve menopausal symptoms. There is some evidence that weight gain can increase the severity of hot flushes and night sweats. More severe symptoms are associated with being overweight”.7

6. Alcohol

Is there an association between alcohol and hot flushes?

Yes and no. In Drink To Your Health At Menopause, or Not? How Much Is Bad? the NAMS elaborate on:

  • “Drinking may trigger hot flashes for some women, although that isn’t based in research. So determine whether it’s a personal trigger for you. (As for a general risk of experiencing hot flashes and night sweats, some studies find alcohol increases it, whereas others find the opposite)”.8

7. Smoking

Is there an association between smoking and hot flushes?

In Looking After Yourself: Smoking and Other Drugs the JH note:

“Women who smoke also have more severe and frequent hot flushes and night sweats, and difficulty sleeping”.9

According to the Mayo Clinic:

  • “Don’t smoke. Smoking is linked to increased hot flashes. By not smoking, you might reduce hot flashes, as well as your risk of many serious health conditions, such as heart disease, stroke and cancer”.10

8. Attitude

Is there an association between attitude and hot flushes?

In Make Your Menopause A Positive Experience the author elaborates on:

“The attitude with which you embark upon this transition can have a tremendous impact on your experience of it, as well as on your choice of behaviors. Many of the changes that come with menopause and aging aren’t avoidable, but how you experience menopause and the years that follow has much to do with your attitude. Far from being the end of life, you may find menopause to be a new beginning, one that can be lived richly, fully, and in good overall health. Knowing the spectrum of what’s a normal experience may help ease your concerns and help you to prepare for what’s to come”.11

9. Stress

Is there an association between stress and hot flushes?

In Symptoms of Menopause: Hot Flushes & Night Sweats the JH elaborate on:

“Many studies suggest that stress and anxiety can influence the frequency and intensity of hot flushes. Some foods or alcohol can also have an impact”.12

10. Mind-Body Techniques, Cognitive Behavioural Therapy and Yoga

Is there an association between relaxation, meditation, yoga and mindfulness and hot flushes?

In Managing Your Symptoms: Managing Hot Flushes and Night Sweats – Reduce Stress the JH note:

“For some women, stressful situations can make hot flushes worse. Reducing stress and using mind-body techniques can help.

Cognitive behavioural therapy (CBT) has been shown to be effective in managing hot flushes and night sweats. While CBT doesn’t usually reduce the frequency of hot flushes, it can reduce their impact.

There is some evidence that breathing and relaxation techniques can help you manage the impact of hot flushes.

Yoga has also been shown to be a safe and effective way to reduce menopausal symptoms, including hot flushes”.13

In Hot Flashes: Diagnosis & Treatment – Lifestyle and Home Remedies the Mayo Clinic elaborate on:

  • “Practice mind-body therapies. Although evidence is inconclusive, some women find relief from mild hot flashes through mind-body therapies. Examples include meditation; slow, deep breathing; stress management techniques; and guided imagery. Even if these approaches don’t help your hot flashes, they might provide other benefits, such as easing sleep disturbances that tend to occur with menopause”.14

12. Hypnosis

Is there an association between hypnosis and hot flushes?

In 4 Things To Know About Menopausal Symptoms and Complementary Health Practices. 1 according to the NCCIH:

  • “Mind and body practices such as hypnosis, mindfulness meditation, and tai chi may help improve some menopausal symptoms. Researchers looked at mind and body therapies for menopausal symptoms and found that tai chi and meditation-based programs may be helpful in reducing common menopausal symptoms including the frequency and intensity of hot flashes, sleep and mood disturbances, stress, and muscle and joint pain. There is also some evidence that hypnotherapy may help women manage hot flashes”.15

13. Sleep

Is there an association between sleep and hot flushes?

In Hot Flashes: What’s the Connection To Sex? Sleep Disturbances and Reduced Energy the NAMS elaborate on:

“Although studies have not shown a clear cause-and-effect relationship between hot flashes and sleep disturbance, nighttime hot flashes and night sweats certainly do not make for restful sleep. The result can be fatigue and less energy for sex”.16

14. Sex

Is there an association between sex and hot flushes?

In Hot Flashes: What’s the Connection To Sex? the NAMS elaborate on:

“Studies have shown that severe hot flashes can be negatively associated with sexual activity”.17

15. Natural Products

Is there an association between natural products and hot flushes?

In 4 Things To Know About Menopausal Symptoms and Complementary Health Practices. 2 the (United States) National Center for Complementary and Integrative Health (NCCIH) elaborate on:

Hot Flushes Management“Many natural products, such as black cohosh, soy isoflavone supplements, and DHEA, have been studied for their effects on menopausal symptoms, but scientists have found little evidence that they are helpful. There is also no conclusive evidence that the herbs red clover, kava, or dong quai reduce hot flashes”.18

In Menopause & Herbs the JH also elaborate on the evidence of different herbs used for the management of hot flushes.

16. Phytoestrogens

Is there an association between phytoestrogens and hot flushes?

In Phytoestrogens: Key Points the JH note:

  • “The effect of phytoestrogens on menopausal hot flushes varies between individuals, as only a third to a half of individuals have the gut bacteria that convert the phytoestrogens to a more potent form”.19

In Hot Flashes: Diagnosis & Treatment – Alternative Medicine: Dietary Supplements the Mayo Clinic explain:

  • “Plant estrogens. Asian women, who consume soy regularly, are less likely to report hot flashes and other menopausal symptoms than are women in other parts of the world. One reason might be related to the estrogen-like compounds in soy.
    However, studies have generally found little or no benefit with plant estrogens, although research is ongoing to determine whether specific components of soy, such as genistein, help hot flashes”.20

17. Evening Primrose Oil

Is there an association between Evening primrose oil and hot flushes?

In Effectiveness of Natural Therapies: Don’t Go It Alone the JH explain:

“Recent research on menopause found that out of a large group of women in Australia, the second-most used natural therapy was self-prescribed evening primrose oil for the treatment of hot flushes. Unfortunately for these women, and completely unknown to them, another piece of research found that evening primrose oil is no better than taking a dummy pill for the treatment of hot flushes. There are natural therapies that are effective and evidence-based for the treatment of hot flushes, but evening primrose oil is not one of them”.21

18. Cure or Not

Is there a cure for hot flushes?

In Menopause FAQs: Hot Flashes – Q. Are there treatments for hot flashes? the NAMS elaborate on:

“A. Although the available treatments for hot flashes do not cure hot flashes, they do offer relief. Hot flashes usually fade away eventually without treatment, and no treatment is necessary unless hot flashes are bothersome. A few women have an occasional hot flash forever. There are a number of low-risk coping strategies and lifestyle changes that may be helpful for managing hot flashes, but if hot flashes remain very disruptive, prescription drug therapy may be considered”.22

19. Hormone Therapy

What is the most effective treatment for hot flushes?

On page one in The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement, published 07 July 2022, the NAMS note:

  • “Hormone therapy remains the most effective treatment for vasomotor symptoms (VMS) and the genitourinary syndrome of menopause (GSM) and has been shown to prevent bone loss and fracture”.23

20. Hormone Therapy Alternatives

Are HT alternatives available to relieve hot flushes?

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:

  • “Alternative therapies, including cognitive behavioural therapy, may also improve hot flushes, nights sweats and other menopausal symptoms and can be considered in women who do not wish to take HRT or have contraindications to taking HRT”.24

Health Care Provider

What if I would like help with my hot flushes management?

If you would like help with your hot flushes management, it may be in your best interest to choose to talk to your health care provider about this. Together you can look for a pattern, discuss your options and if required, agree on who maybe the best person to help you.

The Mayo Clinic note:

“Discuss the pros and cons of various treatments with your doctor. If hot flashes don’t interfere with your life, you probably don’t need treatment. Hot flashes subside gradually for most women, even without treatment, but it can take several years for them to stop”.25

In 4 Things To Know About Menopausal Symptoms and Complementary Health Practices. 4 the NCCIH remind us:

“Tell all your health care providers about any complementary health practices you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care”.26

Health Topics A-Z

Where may I find Health Topics related to Hot Flushes Management?

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. Askearlymenopause.org [Ask EM] [+ Video: What Is Early Menopause?]
  3. Avoiding Hot Flash Triggers
  4. Bioidentical Hormone Therapy
  5. Bioidentical Hormones Explained – A British Menopause Society Video
  6. Bioidentical Hormones: Are They Safer?
  7. Certain Characteristics Predispose Women To Different Hot Flush and Night Sweat Patterns
  8. Cognitive Behaviour Therapy (CBT) for Menopausal Symptoms
  9. Compounded Bioidentical Hormone Therapy [Video]
  10. Deciding About Hormone Therapy
  11. Deciding About Hormone Therapy Use
  12. Dr Louise Newson: The Truth About the Menopause & HRT
  13. Find A Menopause Practitioner [United States and Other]
  14. Find An AMS Doctor [Australasian Menopause Society i.e. Australia and New Zealand]
  15. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  16. HRT – Types, Doses and Regimens
  17. HRT: Benefits and Risks
  18. Harness the Power of Your Mind To Beat Hot Flushes: It’s the Symptom That Plagues So Many Menopausal Women — and Now Here’s A Drug-Free Way That’s PROVEN To Tackle It
  19. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  20. Hormone Therapy: Is It Right for You?
  21. Hot Flash FAQs: Triggers, Symptoms & Treatments – What Are the Treatments for Hot Flashes?
  22. Hot Flashes
  23. Hot Flashes
  24. Hot Flashes: Diagnosis & Treatment
  25. Hot Flashes: What Can I Do? [+ Video: What Are the Signs and Symptoms of Menopause?]
  26. How Long Does Menopause Last? – Ask Dr Jean
  27. How To Manage and Reduce Stress
  28. I Forgot To Ask the Doctor – E9: The Menopause: Can Every Woman That Wants It Have HRT?
  29. 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
  30. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Hormone Replacement Therapy (HRT) [+ Video: Is HRT Bad for You?]
  31. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Signs and Symptoms [+ Video: Talking Menopause With Your GP]
  32. Learning To Cope With Hot Flashes
  33. Looking After Yourself
  34. Managing Menopause
  35. Managing Your Symptoms
  36. Mayo Clinic Minute: Combating Weight Gain During Menopause [15 May 2023] [+ Video Courtesy: Mayo Clinic News Network]
  37. Mayo Clinic Minute: Help With Hot Flashes Due To Menopause [+ Video Courtesy: Mayo Clinic News Network]
  38. Mayo Clinic Minute: How Lifestyle Changes May Help Manage Menopause Symptoms [+ Video]
  39. Meditation: A Simple, Fast Way To Reduce Stress
  40. Menopause
  41. Menopause
  42. Menopause & Herbs
  43. Menopause FAQs: Hot Flashes
  44. Menopause Management Fact Sheet
  45. Menopause Map: Downloadable Resources – My Personal Path Print Tools: Questions for Your Health Care Provider
    Hot Flushes Management
  46. Menopause Map: Downloadable Resources – My Personal Path Print Tools: Symptom Tracker
    Hot Flushes Management
  47. Menopause Patient Information [Videos] 4. The Different Types of HRT
  48. Menopause Patient Information [Videos] 5. Lifestyle Advice In Menopause & Perimenopause
  49. Menopause Mindfulness: A Personal Toolkit for Menopause Preparedness
  50. Menopause Preparedness Toolkit Video Series: Lifestyle Tips for Menopause
  51. Menopause Preparedness Toolkit Video Series: Mindfulness & Wellbeing During the Menopause Transition
  52. Menopause Preparedness Toolkit Video Series: Treating Vasomotor Symptoms of Menopause
  53. Menopause Preparedness Toolkit: A Woman’s Empowerment Guide
  54. Menopause Symptoms: Hot Flashes
  55. Menopause Symptoms: Mayo Clinic Expert Outlines Hormone and Nonhormonal Therapies
  56. Menopause Treatment
  57. Menopause Treatments: What Works, What Doesn’t
  58. Menopause and HRT
  59. Menopause, Perimenopause, Hormone Therapy and Other Treatments With Madelyn Butler, MD [Podcast]
  60. Menopause-Related Hot Flashes and Night Sweats Can Last for Years
  61. Menopause: Diagnosis & Treatment
  62. Menopause: Diagnosis and Management – Information for the Public: Managing Your Symptoms [NICE Guideline]
  63. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  64. Menopause: Ensuring A Tranquil Transition
  65. Menopause: Understanding the Changes and Finding Relief | Dr Susan Davis | The Proof Podcast EP 256
  66. National Center for Complementary and Integrative Health: 4 Things To Know About Menopausal Symptoms and Complementary Health Practices
  67. National Center for Complementary and Integrative Health: Flaxseed and Flaxseed Oil
  68. National Center for Complementary and Integrative Health: Herbs At A Glance
  69. National Center for Complementary and Integrative Health: How Safe Is This Product or Practice?
  70. National Center for Complementary and Integrative Health: Menopausal Symptoms: In Depth
  71. National Center for Complementary and Integrative Health: Milk Thistle [Silybum Marianum]
  72. National Center for Complementary and Integrative Health: Natural Doesn’t Necessarily Mean Safer, or Better
  73. National Center for Complementary and Integrative Health: Red Clover
  74. National Center for Complementary and Integrative Health: Sage
  75. National Center for Complementary and Integrative Health: Soy
  76. Natural Remedies To Help Manage Perimenopause Symptoms
  77. Navigating Menopause: Expert Insights and Solutions | Dr Susan Davis | The Proof Podcast EP 245
  78. Office of Dietary Supplements: Black Cohosh
  79. Office of Dietary Supplements: Dietary Supplement Fact Sheets
  80. Perimenopause: Symptoms and Causes
  81. Physical Activity and Exercise for Hot Flashes: Trigger or Treatment?
  82. Phytoestrogens
  83. Relaxation
  84. Risks and Benefits of MHT
  85. Self-Help Tool: Menopause and Mental Wellbeing
  86. Sleep, Food, Exercise, Stress: Why Working on One of These Can Improve the Others
  87. Symptoms of Menopause: Hot Flushes & Night Sweats
  88. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement
  89. The Truth About Hormone Therapy for Menopause
  90. Tips To Help Manage Menopause Symptoms
  91. Using Natural Therapies In the Menopause Transition – Webinar
  92. Video Series-2022: Hormone Therapy: Understanding the Risks and Benefits
  93. Video Series-2022: Perimenopause, Signs, Symptoms, and Solutions
  94. Video Series-2023: New FDA-Approved Nonhormone Option for the Treatment of Hot Flashes
  95. Video Series-2023: Racial and Ethnic Differences in the Menopause Experience
  96. Videos and Podcasts: Videos – Interviews: A Simple Approach To Menopausal Assessment and Management
  97. Webinars: Previous – Management of Menopause in Patients with Obesity
  98. What Can I Do To Help With Hot Flashes?

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Looking After Yourself. Last Updated: 09 May 2023 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/looking-after-yourself Accessed: 23 May 2023
  2. Who Gets Hot Flashes and When? Last Updated: 01 February 2022. Breastcancer.org https://www.breastcancer.org/tips/menopausal/treat/hot-flashes/who Accessed: 23 May 2023
  3. Hot Flashes: What Triggers A Hot Flash? Last Reviewed: 21 March 2022. Cleveland Clinic https://my.clevelandclinic.org/health/articles/15223-hot-flashes Accessed: 23 May 2023
  4. Hot Flashes: Diagnosis & Treatment – Lifestyle and Home Remedies. 20 May 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/hot-flashes/diagnosis-treatment/drc-20352795 Accessed: 23 May 2023
  5. Looking After Yourself. Last Updated: 09 May 2023 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/looking-after-yourself Accessed: 23 May 2023
  6. NonHormonal Treatments for Menopausal Symptoms: Lifestyle Changes. Content Updated: September 2018. Australasian Menopause Society https://www.menopause.org.au/hp/information-sheets/600-nonhormonal-treatments-for-menopausal-symptoms Accessed: 23 May 2023
  7. Managing Your Symptoms: Managing Hot Flushes and Night Sweats – Maintain A Healthy Weight. Last Updated: 09 May 2023 |  Last Reviewed: 19 August 2022. Jean Hailes for Women’s Healthhttps://www.jeanhailes.org.au/health-a-z/menopause/managing-your-symptoms#managing-hot-flushes-and-night-sweats Accessed: 23 May 2023
  8. Drink To Your Health At Menopause, or Not? How Much Is Bad? North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/exercise-and-diet/drink-to-your-health-at-menopause-or-not Accessed: 23 May 2023
  9. Looking After Yourself: Smoking and Other Drugs. Last Updated: 09 May 2023 |  Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/looking-after-yourself#smoking-and-other-drugs Accessed: 23 May 2023
  10. Hot Flashes: Diagnosis & Treatment – Lifestyle and Home Remedies. 20 May 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/hot-flashes/diagnosis-treatment/drc-20352795 Accessed: 23 May 2023
  11. Make Your Menopause A Positive Experience. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/make-your-menopause-a-positive-experience Accessed: 23 May 2023
  12. Symptoms of Menopause: Hot Flushes & Night Sweats. Last Updated: 09 May 2023 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-symptoms Accessed: 23 May 2023
  13. Managing Your Symptoms: Managing Hot Flushes and Night Sweats – Reduce Stress. Last Updated: 09 May 2023 |  Last Reviewed: 19 August 2022. Jean Hailes for Women’s Healthhttps://www.jeanhailes.org.au/health-a-z/menopause/managing-your-symptoms#managing-hot-flushes-and-night-sweats Accessed: 23 May 2023
  14. Hot Flashes: Diagnosis & Treatment – Lifestyle and Home Remedies. 20 May 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/hot-flashes/diagnosis-treatment/drc-20352795 Accessed: 23 May 2023
  15. 4 Things To Know About Menopausal Symptoms and Complementary Health Practices. 4. National Center for Complementary and Integrative Health https://nccih.nih.gov/health/tips/menopause Accessed: 23 May 2023
  16. Hot Flashes: What’s the Connection To Sex? Sleep Disturbances and Reduced Energy. North American Menopause Society https://www.menopause.org/for-women/sexual-health-menopause-online/causes-of-sexual-problems/hot-flashes Assessed: 23 May 2023
  17. Hot Flashes: What’s the Connection To Sex? North American Menopause Society https://www.menopause.org/for-women/sexual-health-menopause-online/causes-of-sexual-problems/hot-flashes Assessed: 23 May 2023
  18. 4 Things To Know About Menopausal Symptoms and Complementary Health Practices. 2. National Center for Complementary and Integrative Health https://nccih.nih.gov/health/tips/menopause Accessed: 23 May 2023
  19. Phytoestrogens: Key Points. Last Updated: 15 January  2020 | Last Reviewed: 17 February 2104. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/natural-therapies-supplements/phytoestrogens Assessed: 23 May 2023
  20. Hot Flashes: Diagnosis & Treatment – Alternative Medicine: Dietary Supplements. 20 May 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/hot-flashes/diagnosis-treatment/drc-20352795 Accessed: 23 May 2023
  21. Effectiveness of Natural Therapies: Don’t Go It Alone. Last Updated: 10 January 2020 | Last Reviewed: 15 June 2016. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/natural-therapies-supplements/effectiveness-of-natural-therapies Assessed: 23 May 2023
  22. Menopause FAQs: Hot Flashes – Q. Are there treatments for hot flashes? North American Menopause Society https://www.menopause.org/for-women/menopause-faqs-hot-flashes Accessed: 23 May 2023
  23. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement. 07 July 2022:1 North American Menopause Society https://www.menopause.org/docs/default-source/press-release/ht-position-statement-release.pdf Accessed: 23 May 2023
  24. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. 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 2022:3-4. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 23 May 2023
  25. Hot Flashes: Diagnosis & Treatment – Treatment. 20 May 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/hot-flashes/diagnosis-treatment/drc-20352795 Accessed: 23 May 2023
  26. 4 Things To Know About Menopausal Symptoms and Complementary Health Practices. 4. National Center for Complementary and Integrative Health https://nccih.nih.gov/health/tips/menopause Accessed: 23 May 2023
Topic Last Updated: 10 May 2023 – Topic Last Reviewed: 23 May 2023

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