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Hot flush: reclaim your cool with these simple daily habits

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A hot flush is certainly a common sign of menopause for many women in the UK today (1). These vasomotor symptoms manifest as sudden feelings of intense heat and unexpected anxiety in the body (4). Consequently, they cause the blood flow in the face, neck, and chest to increase rapidly (6). As a result, this produces visible redness and uncomfortable night sweats across the upper body (4). 

 

Why does a hot flush occur? 

 

They occur because there are significant hormonal changes before, during, and after the transition phase (3). Specifically, when oestrogen levels drop, the hypothalamus becomes more sensitive to small body temperature changes (4). Therefore, the thermostat detects heat and triggers hot flushes as a way to cool down (1). 

 

Signs and symptoms of a hot flush 

 

The most common signs can occur at any time of the day or the night (6). For instance, a sudden sensation of warmth spreads across the chest, neck, and the face (4). 

  • You might notice red, blotchy skin appearing suddenly on your face and your neck area (1). 

  • Furthermore, an uncomfortable acceleration of the heart rate occurs frequently during these intense physical episodes (4). 

  • Additionally, intense sweating happens often, especially in the upper body areas like the chest and back (6). 

  • Afterward, a shivering sensation follows once the hot flush begins to subside slowly and gradually (4). 

  • Finally, feelings of anxiety and fatigue may accompany these physical symptoms regularly during the day (7). 

Some women may also suffer from restless legs syndrome during the perimenopause transition phase today (6). Indeed, this is characterised by a feeling of leg discomfort that is relieved by moving them (4). Moreover, it may be experienced more intensely at night, disrupting your essential sleep quality significantly (1). 

 

How is a hot flush treated? 

 

Middle-aged woman experiencing a hot flush, using a fan and pulling at her shirt collar for relief while sitting on a couch.

 

The most effective treatment to relieve your symptoms is often taking oestrogen replacement therapy medication (3). However, this carries risks, so your doctor must determine if oestrogen is right for you (3). For example, they check if you can start taking it before the age of sixty safely (5) 

Alternatively, other medications, such as antidepressants, can also help control them effectively for some women (2). However, these tend to be less effective than hormones for managing severe vasomotor symptoms correctly (2). 

Above all, you should always consult your doctor to learn the advantages and the disadvantages (3). In fact, symptoms as a hot flush are completely normal in menopause and are often manageable for everyone (7) 

If they are not preventing you from leading a normal life, treatment is usually unnecessary (6). The important thing to know is that they progressively decrease in most cases naturally (1). 

 

Lifestyle changes to improve your daily comfort 

 

However, before thinking about treatment, you should try to make some positive lifestyle changes first (5). 

  • Firstly, keep your rooms well ventilated to stay cool and comfortable at night or day (5). 

  • Secondly, try to avoid sudden changes in temperature whenever it is possible during the day (5). 

  • Thirdly, dress in several layers so you can remove clothes if it is necessary quickly (5). 

  • Furthermore, exercising regularly helps regulate your body temperature and improves your overall general health too (5). 

  • Finally, avoid drinking alcohol, consuming caffeine, eating spicy food, and smoking cigarettes entirely right now (5). 

In addition, specialists suggest making these changes at least three months before any medical treatment (3). For instance, practicing breathing techniques like yoga helps alleviate their frequency and intensity (5) 

Menopause is a natural stage of life and these symptoms are actually very common indeed (6). Therefore, taking small steps above can help to reduce the impact of a hot flush (7). Do you want to learn more about how to effectively manage menopause symptoms today? Read our blogs at Issviva UK and find all information that we have for your well-being. 

 

References 

  1. World Health Organization. Menopause [Internet]. Geneva: World Health Organization; 2024 [cited 2026 Feb 5]. Available from: https://www.who.int/news-room/fact-sheets/detail/menopause 

  1. Medicines and Healthcare products Regulatory Agency. MHRA approves elinzanetant to treat moderate to severe vasomotor symptoms (hot flushes) caused by menopause [Internet]. London: GOV.UK; 2025 [cited 2026 Feb 5]. Available from: https://www.gov.uk/government/news/mhra-approves-elinzanetant-to-treat-moderate-to-severe-vasomotor-symptoms-hot-flushes-caused-by-menopause 

  1. National Institute for Health and Care Excellence. Menopause: identification and management (Information for the public) [Internet]. London: NICE; 2024 [cited 2026 Feb 5]. Available from: https://www.nice.org.uk/guidance/ng23/informationforpublic 

  1. NHS. Menopause - Symptoms [Internet]. London: NHS; 2022 [cited 2026 Feb 5]. Available from: https://www.nhs.uk/conditions/menopause/symptoms/ 

  1. NHS. Alternatives to HRT: Lifestyle changes to make if you're unable to take HRT [Internet]. London: NHS; 2023 [cited 2026 Feb 5]. Available from: https://www.nhs.uk/medicines/hormone-replacement-therapy-hrt/alternatives-to-hormone-replacement-therapy-hrt/lifestyle-changes-to-make-if-youre-unable-to-take-hrt/ 

  1. NHS Wales. Menopause [Internet]. Wales: The Practice of Health; [cited 2026 Feb 5]. Available from: https://thepracticeofhealth.nhs.wales/health-advice-support/menopause/ 

  1. NHS England. NHS England signs Menopause Workplace Pledge [Internet]. London: NHS England; 2022 [cited 2026 Feb 5]. Available from: https://www.england.nhs.uk/blog/nhs-england-signs-menopause-workplace-pledge/ 

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