Why does menopause cause hot flushes?

Hot Flushes is a very common presentation of Menopause. As reproductive hormone levels change, the temperature-control centre in the brain may treat a small change in body temperature as if the body is too warm. Blood vessels near the skin widen, sweating begins, and the heart may beat faster as the body tries to release heat. A flush can be followed by chills when the skin cools. Heat, stress, alcohol, spicy food, and warm rooms can trigger episodes for some people.

Keep the bedroom cool, choose breathable layers, and keep water nearby. A fan, cool cloth, and clothing that is easy to remove may help during an episode. Notice personal triggers in a simple diary and plan pauses during activities if flushing affects concentration or sleep. If symptoms are frequent or disruptive, a clinician can discuss hormonal and non-hormonal options, taking your health history and medicines into account.

Seek medical advice if flushing begins suddenly, changes markedly, happens with unexplained weight loss, persistent fever, fainting, chest pain, or severe palpitations, or repeatedly interrupts sleep. Other conditions and medicines can cause sweating or a racing heart. Urgent help is needed for chest pressure, severe breathlessness, or fainting.

Ask whether your pattern fits menopause, which triggers are worth tracking, whether treatment is suitable with your medical history, and how to investigate symptoms that occur outside a flush.