Unlocking the Mystery of Hot Flashes: Causes, Treatments, and Relief
Written and edited by Sarah Bonza MD, MPH, FAAFP, DipABLM, NBC-HWC
Unlocking the Mystery of Hot Flashes: Causes, Treatments, and Relief
Hot flashes are one of the most common and bothersome symptoms of perimenopause and menopause, affecting up to 80% of women during this transitional phase of life. As a physician dedicated to helping women navigate this challenging time, I understand the frustration and discomfort that hot flashes can bring. Let’s dive into the pathophysiology of hot flashes, explore what we’ve learned about their causes, and discuss various treatment options, including lifestyle changes, functional medicine supplements, and traditional allopathic medications.
The Science Behind Hot Flashes
Despite extensive research, the exact pathophysiology of hot flashes remains somewhat elusive. However, we do know that they are primarily related to changes in the body’s thermoregulatory system. The hypothalamus, which acts as the body’s thermostat, becomes more sensitive to slight changes in body temperature as estrogen levels decline during menopause. This increased sensitivity can trigger a hot flash, a sudden sensation of warmth that typically starts in the chest, neck, and face, often accompanied by sweating, heart palpitations, and sometimes chills. The decline in estrogen levels also affects neurotransmitter systems, particularly norepinephrine and serotonin, which play crucial roles in temperature regulation. This disruption narrows the thermoregulatory zone, making it easier for the body to cross the thresholds that trigger sweating and chills.
Treatment Options for Hot Flashes
Lifestyle Changes
For many women, simple lifestyle modifications can significantly reduce the frequency and severity of hot flashes:
- Stay Cool: Dress in layers, use fans, and keep your environment cool. Sipping cold drinks can also help when a hot flash starts.
- Avoid Triggers: Identify and avoid common triggers such as hot drinks, spicy foods, caffeine, alcohol, and stress.
- Exercise Regularly: Regular physical activity can help regulate body temperature and reduce stress, which may alleviate hot flashes.
- Practice Relaxation Techniques: Mind-body therapies like yoga, meditation, and paced respiration can help manage stress and improve overall well-being.
Functional Medicine Supplements
Functional medicine offers several natural supplements that may help manage hot flashes:
- Black Cohosh: This herb has been shown to reduce hot flash symptoms effectively. A typical dose is 40–80 mg daily for up to 12 weeks.
- Phytoestrogens: Found in soy products and certain herbal blends, phytoestrogens can mimic estrogen in the body and help reduce hot flashes.
- Vitamin E: As an antioxidant, Vitamin E may help reduce the severity and frequency of hot flashes. A common dose is 400–800 IU daily.
Traditional Allopathic Medications
For women who need more robust intervention, traditional allopathic medications can be highly effective:
- Hormone Therapy (HT): Estrogen therapy, often combined with progesterone, is the most effective treatment for hot flashes. It helps stabilize hormone levels and alleviate symptoms. However, it comes with potential risks, including an increased risk of heart disease and breast cancer, so it should be used at the lowest effective dose for the shortest duration necessary.
- Non-Hormonal Medications: Options include SSRIs like paroxetine, which can reduce hot flash frequency, and gabapentin, an antiseizure medication that has shown efficacy in managing hot flashes.
- Fezolinetant (Veozah): Recently approved by the FDA, Veozah is a non-hormonal medication that works by blocking a pathway in the brain that helps regulate body temperature. It is taken as a daily pill and can provide relief from moderate to severe hot flashes associated with menopause.
Take Control of Your Health
Hot flashes can significantly impact your quality of life, but you don’t have to suffer in silence. At Bonza Health, we specialize in helping women reclaim their vitality during perimenopause and menopause. Whether through lifestyle changes, functional medicine, or traditional treatments, we tailor our approach to meet your unique needs.
Ready to find relief from hot flashes?
Book an appointment with me today and start your journey to feeling better!
By understanding the underlying causes of hot flashes and exploring a range of treatment options, you can take proactive steps to manage your symptoms and improve your quality of life.
Don’t wait — take control of your health and well-being now!
