Symptom
Hot flushes
Sudden feelings of heat, usually in the face, neck and chest, sometimes with sweating, a red face or a racing heart.
- How common
- One of the most common symptoms of menopause1
- How long it lasts
- A median of 7.4 years in one large US study, longer for some3
- Most effective treatment
- HRT, for those it suits4
What it can feel like
- A wave of heat that spreads over the upper body
- Flushed skin and sweating
- Feeling cold or shivery afterwards
What guidance says can help
Layers and cool drinks
The NHS suggests lightweight clothing, a cool shower, a fan or a cold drink.2
Common triggers
Alcohol, caffeine, smoking and spicy food make flushes worse for some people.2
HRT
NICE recommends offering HRT for hot flushes, after discussing its benefits and risks.4
Non-hormonal options
A doctor can discuss other medicines and CBT if HRT is not right for you.5
When to see someone
- Flushes that affect your sleep, work or daily life.
- Urgent:Flushes along with unexplained weight loss, fever or a racing heart at rest.
For symptoms that can’t wait, see Get help now.
Questions to ask
- What are my options for hot flushes, hormonal and non-hormonal?
- Is there any reason HRT would not suit me?
- What should I track so we can tell if a treatment is working?
Often comes with
Full guide · 7 minHot flushes and night sweats: how long they last and what the guidelines saySources
- NHS. Menopause and perimenopause symptoms.
- NHS. Things you can do to help with menopause symptoms.
- Avis NE et al. Duration of menopausal vasomotor symptoms over the menopause transition (SWAN). JAMA Internal Medicine, 2015.
- NICE guideline NG23. Menopause: identification and management.
- NHS. Menopause and perimenopause treatment.
General information, not medical advice. It can’t tell you what is causing your symptoms.