What does hot flushes feel like with menopause?

Heat may begin in the face, neck, or chest and spread across the upper body. The skin can look flushed, and sweating may be followed by chills as the body cools. Some people notice a faster heartbeat, tingling, or a brief feeling of unease. Episodes can happen during the day or at night; night-time episodes may leave clothing or bedding damp and disturb sleep. The experience varies in intensity and length.

Notice patterns for a few days: record timing, food or drink, room temperature, stress, sleep, and menstrual changes. Wear light layers, keep the room cool, and use breathable bedding. A cool drink or fan may help during an episode. If flushes interfere with sleep, work, or daily activities, discuss treatment choices with a clinician. Hormonal and non-hormonal approaches may be considered after reviewing your history.

Get urgent help for heat with chest pressure, severe breathlessness, fainting, confusion, or a new neurological problem. Arrange a clinical review if episodes are new and severe, occur with unexplained weight change or persistent fever, or do not fit your usual pattern. Hot flushes can occur for reasons other than menopause, so persistent symptoms deserve a proper assessment.

Ask whether your pattern fits menopause, whether medicines or thyroid problems could contribute, which treatments are suitable, and what symptoms should prompt an urgent call.