Hot Flushes: What Actually Helps, From Fans to HRT

A hot flush can arrive out of nowhere: a wave of heat through the chest, neck and face, often with sweating, a racing heart and then a chill. At night, they become night sweats that wreck sleep. They are among the most common symptoms of perimenopause and menopause.¹

Simple changes that help many women

• Dress in layers you can remove quickly, and choose breathable fabrics.
• Keep your bedroom cool, with a fan by the bed and light bedding.
• Notice your triggers. Alcohol, caffeine, spicy food, hot drinks and stress commonly set off flushes in some women.³
• Keep a cold drink nearby, and try slow, paced breathing when a flush starts.
• Stay active and stop smoking, which support your overall health during menopause.

Talking therapy

NICE guidelines recommend that cognitive behavioural therapy (CBT) be considered for menopause symptoms, including hot flushes and night sweats.² CBT does not stop flushes physically, but it can reduce how much they bother you and improve sleep and mood. It is available through some health services and as structured self-help programmes.

Hormone replacement therapy (HRT)

HRT replaces the oestrogen your body is producing less of, and it is the most effective treatment for hot flushes.¹ It comes as tablets, patches, gels or sprays, and women who have a womb also need a progestogen to protect the womb lining. Benefits and risks vary with age, health history and the type of HRT, so the decision is an individual one to make with your doctor.²

Non-hormonal medicines

If HRT is not suitable or you prefer not to take it, doctors may discuss other prescription medicines that can reduce flushes. Newer non-hormonal treatments that target the brain’s temperature control centre have also been approved in some countries. Ask your doctor what is available where you live.

You do not have to “just put up with it”. Flushes are a recognised symptom with recognised treatments.

What about herbal remedies?

Products such as black cohosh and red clover are widely sold, but the evidence for them is mixed, product quality varies, and some can interact with other medicines.¹ Tell your doctor or pharmacist if you take any.

When to see a doctor

If flushes or night sweats are affecting your sleep, work or wellbeing, book an appointment. Also seek advice if you have night sweats with fever, weight loss or other unexplained symptoms, as these can have other causes.