Menopause and chills: what should you know?

A hot flush can be followed by sweating and rapid cooling of the skin, leaving you shivery or cold. Temperature sensitivity, sleep loss and anxiety may make the sensation more noticeable. Chills may also occur without a flush, so the timing and other symptoms are useful clues.

Menopause does not explain every episode. Infection, thyroid problems, low blood sugar, medication effects or environmental cold can also cause chills. Note whether you have fever, cough, urinary symptoms, abdominal pain, diarrhoea, a rash or unusual tiredness, and tell a clinician if the episodes are new or persistent.

Dress in light layers so you can adjust quickly after a flush, keep a drink nearby and use breathable bedding. A symptom diary can show links with hot flushes, night sweats, food, medicines, stress or the room temperature. Rest and fluids are sensible while you monitor a mild, brief episode.

Arrange a routine appointment if chills keep returning, disturb sleep or occur without a clear temperature change. Bring your temperature readings, medicine list and notes about periods stopped or other menopause symptoms.

Seek urgent medical care for chills with a high fever, confusion, severe breathlessness, chest pain, fainting, a stiff neck, severe abdominal or pelvic pain, or a rapidly worsening illness. Prompt advice is also needed for chills with burning urination, persistent vomiting or a new rash.

Could these episodes be linked to hot flushes or a medicine? Should I check my temperature during an episode? Do my other symptoms suggest infection or a thyroid problem, and what changes require urgent help?