Why Do Menopausal Women Get Hot Flashes?

Whether you are already going through menopause or nearing that stage in your life, you probably know that one of the top symptoms is hot flashes. Along with night sweats, these can make daily life very uncomfortable. Hot flashes are sudden sensations of heat that spread to your chest, face, and neck. Night sweats are their nighttime equivalent. It’s estimated that up to 85% of women experience these symptoms at some point during menopause. Let’s explore why menopausal women struggle with this issue.

The Causes of Hot Flashes

The cause may be linked to unopposed estrogen and high cortisol levels. Ray Peat, Ph.D., explains:

“Despite decreasing oxidative metabolism, estrogen stimulates the adrenal cortex—both directly and indirectly through the brain and pituitary—increasing the production of cortisol. Cortisol, by increasing protein turnover, can increase heat production… Cushing's syndrome (produced by excessive cortisol) commonly involves flushing and depression, both likely related to decreased adrenaline action.”

Additionally, excess cortisol can disrupt thyroid hormone production. When cortisol levels are too high during menopause, sleep is disturbed, thyroid hormones become unbalanced, and the protective role of calming progesterone is lost.

As with any menopausal symptom, the frequency and intensity of hot flashes vary greatly. Some women experience them occasionally, while others suffer from them almost daily, finding them severely disruptive. Finding effective coping strategies can make this life stage more manageable.

Coping with Hot Flashes

Certain lifestyle changes can help reduce hot flashes. Triggers differ for everyone but may include caffeine, spicy foods, alcohol, or smoking. Identifying and minimizing these triggers is key.

• Dress in layers to easily cool down during a hot flash.

• Keep a fan near your bed if night sweats are an issue, and keep your bedroom temperature cool.

• Taking a cool shower before bed, or during the day if needed, can help lower your body temperature.

• Reducing stress can also lessen hot flashes, so consider stress management techniques.

• Maintaining a healthy weight may help, as obesity and overweight are linked to increased hot flashes.

Hot flashes are a very common and normal part of menopause—there’s no need to be ashamed. If you are struggling with hot flashes, contact our team today. We can discuss various ways to help manage your menopause symptoms and improve your quality of life.