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When Do Hot Flashes End After Menopause

Difference Between Natural Menopause And Surgical Menopause Symptoms

Hot Flashes? After Menopause?

Menopause is a natural part of a womans aging process. It usually occurs between the ages of 35 and 51. Menopause happens when the ovaries stop producing eggs, resulting in the ending of menstruation.

This transition of phase from the reproductive stage to peri-menopause or menopause is often associated with several uncomfortable symptoms, such as hot flushes, night sweats, weight gain, irritability, mood swings, anxiety, and depression.

For some women, these symptoms are mild and easily managed by diet, exercise, and stress management techniques.

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How Long Do Hot Flashes Last After Menopause

These hot flashes can sometimes last for years together. Generally, hot flashes due to menopause fade away within 6 to 24 months. But according to a newer study, hot flashes last for up to 7 years and may continue till 11 years.

How long do hot flashes usually last differs in each woman. According to some researchers, some women get longer bouts of hot flashes as compared to others. Those who experienced hot flashes before the last of their menstrual periods, get hot flashes for 9 to 10 years. For some others, if their menstrual periods didnt start after their menstrual periods ended, they experienced hot flashes for 3 to 4 years. But short duration, or longer duration, the period that hot flashes last till cause a lot of disturbance in their lives.

According to another study, those who got hot flashes for longer durations were found to be former or current smokers, depression patients, overweight or stressed. Hot flashes also differed according to ethnicity. African American woman had the longest time duration of hot flashes ranging from 9 to 12 years or more and Japanese and Chinese woman had the shortest durations of about half the time period.

Menopause And Hot Flashes Relief

Taking estrogen is the most effective way to alleviate the discomfort of hot flashes, but it can also be risky. However, if estrogen is suitable for you and you start taking it before the age of 60, it can be totally worth it. Such relief can be achieved with the help of medications or designated hormone replacement therapy. Note, the latter option is the most efficient and approved by the FDA. But due to some risks, doctors worked on non-hormonal treatment as an alternative. In particular, women may be concerned about weight gain or skin problems. In reality, hormone replacement therapy is safe if strictly monitored by doctors.

Based on studies, postmenopausal women with frequent symptoms were assigned with the sessions of relaxing therapy, electroencephalographic, and deep breathing exercises. The first therapy drastically reduced the occurrence of hot flashes, and 50% of surveyed patients reported the positive changes in their daily life feelings. The second option with electroencephalographic a-wave biofeedback showed fewer results, and their symptoms were still significant. And, finally, those who practice deep breathing showed a great decline in night sweats and other manifestations.

If concluding the best natural remedy for hot flashes, it is possible to give an example of evening primrose oil. It is the first-line treatment to relieve the signs and symptoms of this problem. But, women should still be checked with a physician to avoid negative consequences.

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Should I Take Hormones For My Hot Flashes

Talk with your doctor before using hormones to treat menopause symptoms. Hormones should be used at the lowest dose and for the shortest period of time they are effective.

Hormones can be very effective at reducing the number and severity of hot flashes. They are also effective in reducing vaginal dryness and bone loss.

Hormone treatments can take the form of pills, patches, rings, implants, gels, or creams. Patches, which stick to the skin, may be best for women with cardiac risk factors, such as a family history of heart disease.

There are many types of hormones available for women to treat hot flashes. These include estradiol, conjugated estrogen, selective estrogen receptor modulators , and compounded or synthetic hormones. It is a common misconception that synthetic hormones mixed by a compounding pharmacist are safer and less risky than other hormone therapies. This is not the case. We must assume they have the same risks as any hormone therapy.

Some of the relatively mild side effects of hormone use include breast tenderness, spotting or return of monthly periods, cramping, or bloating. By changing the type or amount of the hormones, the way they are taken, or the timing of the doses, your doctor may be able to help control these side effects or, over time, they may go away on their own.

Other Drugs Used For Menopausal Symptoms

How Long Do Menopause Hot Flashes Last?

Despite its risks, hormone therapy appears to be the most effective treatment for hot flashes. There are, however, nonhormonal treatments for hot flashes and other menopausal symptoms.

Antidepressants

The antidepressants known as selective serotonin-reuptake inhibitors are sometimes used for managing mood changes and hot flashes. A low-dose formulation of paroxetine is approved to treat moderate-to-severe hot flashes associated with menopause. Other SSRIs and similar antidepressant medicines are used “off-label” and may have some benefit too. They include fluoxetine , sertraline , venlafaxine , desvenlafaxine , paroxetine , and escitalopram .

Gabapentin

Several small studies have suggested that gabapentin , a drug used for seizures and nerve pain, may relieve hot flashes. This drug is sometimes prescribed “off-label” for treating hot flash symptoms. However, in 2013 the FDA decided against approving gabapentin for this indication because the drug demonstrated only modest benefit. Gabapentin may cause:

  • Drowsiness

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Causes Of Hot Flushes

Low oestrogen levels can lower levels of another hormone called noepinephrine. It helps your body to regulate it’s own temperature. A low level of norepinephrine can lead to a rise in your body core temperature. The rise in temperature can cause a hot flush.

Researchers are looking into more complex causes of hot flushes. One example is that the part of the brain called the hypothalamus controls the production of many hormones. This part of the brain also controls our body temperature. It may be that the chemical messengers the hypothalamus produces cause the hot flushes.

We need more research to find exactly what causes flushes so that we can develop treatments that work better at controlling them.

Hot flushes usually start to improve over time.

Women Who Undergone Hysterectomy

Women who undergo the hysterectomy are more prone to develop hot flashes symptoms even after the end of their menopausal stage. Though some researches correlate the hot flashes issue in these women with a perception that hysterectomy affects the ovaries blood vessels structure that leads to earlier ovarian failure leading to hot flashes.

However, this hypothesis doesnt explain clearly why hot flashes issue persists for a longer duration in women who underwent a hysterectomy. Another report suggests that women who undergo hysterectomy due to dysfunctional uterine bleeding have the different hormonal or psychological condition than other women that makes them more prone to develop hot flashes.

Whereas women who undergone hysterectomy due to benign condition develops different symptoms and possibility exits that even though they develop hot flashes symptoms they are reluctant to report their symptoms to anyone.

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What Can Cause Hot Flashes Other Than Menopause

There are a lot of possible causes. In fact, hot flashes can be a sign of a serious underlying medical condition. They can also signify an abnormal allergy or reaction growth, or be a side effect of prescribed medication.

Here is the list of the possible causes:

Stress followed by an adrenaline rush may create a feeling of warmth that feels a hot flash, so if you live a life full of pressure, this reaction can be triggered.

Thyroid problems like hyperthyroidism, which causes thyroid hormone overabundance, may increase the bodys metabolism and cause hot flashes no menopause.

Drugs can also cause hot flashes for as long as you take them, and if thats the case, it might be wise to consult your doctor and change your medication.

Hormone-secreting tumors like pancreatic tumors bypass the ability of the organs to help the body function properly and may result in hot flashes.

Food and drink are another reason for hot flashes. It might happen right after a meal or a couple of drinks, but eating less and reducing or avoiding caffeine and alcohol can fix the problem.

Some support is found in hereditary problems. If your mother used to have hot flashes in her pre or post-menopausal stages, there is a high risk of the same occurrence with your well-being. However, it still does not mean that your hereditary reasons cannot be altered, and you would live with hot flashes. The treatment is applied and one feels better during any stage.

Beverley Coped With Hot Flushes By Using A Fan Wearing Short Sleeved T

How To Stop Hot Flashes and Other Menopause Symptoms – Estradiol

The sweats got really bad. And it was funny because you could feel it from the tip of your toe and you could feel it rising and then Id glow and Id be fanning myself for dear life. I was a typical Caribbean person in terms of I always felt the cold. However, once I was into my menopause I was never cold, in fact I was always hot and this went on for quite a few years. I adjusted the type of clothes I wore and didnt layer as much. I could literally wear a short sleeved t-shirt or a jumper or blouse with a cardigan on top in the summer, in the winter, sorry, and Id be fine. Obviously, my jacket if I was outside. Because I didnt really feel the cold as much as I had done before. So its basically changing your lifestyle but you do it and then it becomes part of your normal day to day. And as I said Id walk around with a fan. I also had a fan in my office that was on my desk so I could put it on and if I didnt, if I was sitting somewhere where there wasnt a fan then Id try and sit somewhere where I had access to a window. So I could open it.And as I said, Im 50 now. The sweats have calmed down but every now and then I do get them but not as much and Im starting to feel the cold again so Im wondering if Ive come to the end of that cycle and my body is now coming back to something like what it was premenopausal.

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How Do I Stay Healthy After Menopause

It is important to maintain a healthy lifestyle, especially as you age and your risk for certain medical conditions increases. Some ways for people in postmenopause to stay healthy include:

  • Exercising regularly. Walking, doing yoga or strength training can help lower your risk for many medical conditions.
  • Weight-bearing exercises can strengthen your bones and muscles.
  • Eating a healthy diet. Foods like fruits, vegetables, lean meats and whole grains should make up the bulk of your diet. Avoid lots of salt or sugar and limit your consumption of alcohol.

A note from Cleveland Clinic

Going through menopause can be uncomfortable and present new challenges and health concerns. Speak with your healthcare provider about any symptoms you feel or questions you have. They can help make sure you are supported through this time and get the care you need.

Last reviewed by a Cleveland Clinic medical professional on 10/05/2021.

References

Hot Flushes And Sweats

Hot flushes and sweats are the most common symptoms of the menopause and can affect three out of every four menopausal women*. Characterised by sudden feelings of heat which seem to come from nowhere and spread upwards through the body, the chest, neck and face, hot flushes and sweats are probably caused by changes in hormone levels which affect the bodys temperature control. Women talked about their experiences of hot flushes and sweats, the effect on their life, and what they did to relieve the symptoms.Hot flushesSome women we talked with had either not had flushes at all, had noticed just occasional mild feelings of warmth lasting seconds, or had simply not been bothered by them. Others, however, had more intense hot flushes which happened throughout the day and night, lasting several minutes or longer and accompanied by sweating, dizziness, light-headedness and heart palpitations. One woman said she had about twenty hot flushes a day another flushed every ten minutes throughout the day .

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Treatment Options For Hot Flashes

Non-hormone options. The U.S. Food and Drug Administration has approved the use of paroxetine. This is a low-dose antidepressant that uses a selective serotonin reuptake inhibitor to treat hot flashes.

Women who use an antidepressant to help manage hot flashes generally take a lower dose than people who use the medication to treat depression. Side effects depend on the type of antidepressant you take. They can include:

  • Dizziness

Lifestyle Changes To Improve Hot Flashes

Pin on Menopause Nutrition

Before considering medication, first try making changes to your lifestyle. Doctors recommend women make changes like these for at least 3 months before starting any medication.

If hot flashes are keeping you up at night, keep your bedroom cooler and try drinking small amounts of cold water before bed. Layer your bedding so it can be adjusted as needed. Some women find a device called a bed fan helpful. Here are some other lifestyle changes you can make:

  • Dress in layers, which can be removed at the start of a hot flash.
  • Carry a portable fan to use when a hot flash strikes.
  • Avoid alcohol, spicy foods, and caffeine. These can make menopausal symptoms worse.
  • If you smoke, try to quit, not only for menopausal symptoms, but for your overall health.
  • Try to maintain a healthy weight. Women who are overweight or obese may experience more frequent and severe hot flashes.
  • Try mind-body practices like yoga or other self-calming techniques. Early-stage research has shown that mindfulness meditation, yoga, and tai chi may help improve menopausal symptoms.

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The Most Important Part Of Post

Along with the physical changes that occur after menopause, women may need to improve their health care routines.

Postmenopausal women are at greater risk for heart disease, so redirect your diet toward low-fat foods and lower your salt intake this reduces the risk of heart attack and atherosclerosis, a condition in which plaque builds up on the insides of the arteries.

As part of your routine check-ups, you should have a blood test at a minimum of every five years until age 50, and then at regular intervals. Your doctor will recommend what that interval should be based on how high your cholesterol is, if you are on cholesterol treatment, and on other cardiovascular risk factors that you may have, such as hypertension or obesity.

Women also should have their bone density checked once every two years to spot early signs of osteoporosis, a weakening of the bones. Postmenopausal women are particularly at risk for this condition: Research shows that up to 20 percent of bone loss can occur in the first five years of menopause.

Estrogen is one of the best stimulators of bone growth, Audlin says. The risk of osteoporosis is very low before menopause, but post-menopausally, fractured hips and problems related to bone density are very likely.

Women ages 50 and up should consume at least 1,200 milligrams of calcium every day to maintain bone health. This can be accomplished with supplements, by consuming calcium-rich foods like milk, or a combination of the two.

Duration Of Hot Flashes In Menopause

Although hot flashes menopause is completely normal, you can find them quite disturbing. Some ladies experience hot flashes once a day, while others have them for the most part of the day, with episodes coming throughout the day and night.

Typically, night sweats last for no longer than four minutes. Episodes can happen whenever and might get worse if you have a fever or when you are stressed out. Some women report to have them for years and everything starts in their early 30-35. According to clinical evidence, the median duration of them is about four to five years, and some were diagnosed with them lasting for 20 years starting from the perimenopause stage. In one study, 85%-87% claimed to experience hot flashes like daily, and a third of them have it more than 10 times per day. Again, here it is possible to outline racial differentiation such as Caucasian women and Afro Americans show the highest occurrence with these symptoms, and Japanese together with Chinese may rarely have them.

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How Long Do Hot Flashes Last

The intensity and frequency of hot flashes vary. Some people experience them multiple times a day, and others will only have the occasional hot flash. Hot flash episodes usually last anywhere from one to five minutes at a time.

On average, hot flash symptoms last for seven or more years before and after menopause, though some people may have them for 10 years or longer.

The time at which you first start having hot flashes may indicate how long youll get them. For example, research has found that people who had hot flashes before menopause experienced them for nearly 12 years, compared to people who had their first hot flash after menopause, who experienced them for three years, on average.

What Can I Do To Ease A Hot Flash

Why do I have Hot Flashes After Eating / Hot Flushes After Eating

So if youre one of the 80% of perimenopausal or postmenopausal women who are experiencing hot flashes and youre concerned about your heart: Yes, lose excess weight, keep exercising, dont smoke, and eat healthily. But you also may want to rethink the tough it out approach to hot flashes. Since there are safe, effective hormonal and nonhormonal options that can ease them , theres no reason to suffer-and there are now compelling reasons to reduce the heat. Try these methods:

Estrogen therapy: This can be oral or transdermal .

Nonhormonal Rx options: Paroxetine is an oral SSRI thats been approved by the FDA for menopause-related symptoms. Other meds used off-label for hot flashes include Gabapentin , Clonidine , and Oxybutynin .

Natural remedies: Theres some evidence that isoflavones such as S-equol supplements can ease hot flashes.

This story originally appeared in the February 2020 issue of Prevention.

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