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Hot Flushes / Hot Flashes

Hot flashes are a feeling of excessive heat, most commonly associated with menopause. Luckily, there are a variety of options to help reduce tiresome hot flashes and night sweats, including dietary and nutritional advice and herbal remedy suggestions

What are Hot flashes/ flushes?

Hot flashes are a feeling of excessive heat, usually felt in the upper body. You may feel intense flushing of the face, neck and chest, which may be accompanied by redness. When skin goes red, this is your body’s attempt at cooling itself by dilating the blood vessels more and allowing heat to escape from the surface of the skin. A loss of too much body heat through the skin may lead to a chilled feeling after a hot flash. See our article on menopause for further information

Hot flashes can feel different between individuals. Other symptoms of a hot flash may include:

  • a fast or uneven heartbeat
  • heavy sweating
  • dizziness/ shaking
  • new occurrence or increased occurrence of headaches

Note: If these symptoms seem severe or are a source of discomfort to you, or if you are experiencing palpitations, please consult your doctor.


What causes them?

Hot flashes could potentially be caused by other medical conditions; however, menopause is the leading cause of this symptom in women, typically over the age of 45. They may also occur in those who have early menopause, which is typically due to treatment such as hysterectomy[i]. Hot flashes affect approximately three-quarters of all women in perimenopause (the time leading up to menopause)[ii]. Read more on menopause here.

Very rarely, hot flashes and night sweats are caused by something other than menopause. Other potential causes include medication side effects, problems with your thyroid, certain types of cancer and side effects of medical treatments.


Night sweats:

Night sweats are hot flashes that happen at night, which may disrupt your sleep.

It is worth pointing out that hot flashes and night sweats associated with menopause are very common and menopause itself is not an illness, merely a process the body must go through. The biological norm is not to suffer too much with the symptoms associated with menopause and luckily, there are a variety of options to help reduce tiresome hot flashes and night sweats and keep you in good health.


Diet and lifestyle recommendations for hot flashes

Studies have shown that a diet high in plant foods (especially phytoestrogens) have been helpful in reducing some menopause symptoms such as hot flushes. Phytoestrogens have an oestrogenic effect by binding to oestrogen receptors[iii]. Foods typically high in phytoestrogens are organic whole soy and soaked flaxseed[iv]. However, eating a variety of vegetables will provide an array of phytoestrogens too (to a lesser extent).

For extra diet tips regarding menopause please see our menopause entry here.

Stay away from these triggers, which are known in some people to elicit hot flashes and night sweats:

  • smoking tobacco
  • consuming alcohol and caffeine
  • wearing tight or restrictive clothing
  • using heavy blankets or sheets on your bed
  • eating spicy foods
  • central heating/ air conditioning
  • experiencing excess stressors

Supplements and herbal products for hot flashes

There are lots of menopause complexes in capsule and liquid form. They are derived from different herbs which help to reduce menopause symptoms and some include some vitamins and minerals too.

Sage

Has commonly been used as an aid for hot flushes and night sweats for menopausal women. In a study in Switzerland, the level of intense hot flushes were decreased significantly over the 8 week trial with once daily doses of fresh sage leaves[v]. Try: Viridian Organic Sage supplement.

Red clover

Studies on isoflavone red clover found it reduced hot flushes in frequency and severity and relieved symptoms[vi].

Black cohosh

Is a popular remedy for hot flashes, seen in studies to consistently improve menopause-related symptoms (hot flushes, joint/bone pain)[vii].

These are complexes you can take on a daily basis: Viridian Herbal Female Complex, Wild Nutrition Botanical Menopause, A Vogel Menoforce, and Pure Encapsulations MenoVive, Viridian Organic Sage, A Vogel Stinging Nettle and Shatavari. Please also consult a practitioner for further advice regarding dosage and duration of supplementation, ensure you have your supplest intake reviewed periodically for the best results and safety.


Testing options for hot flashes

Other endocrine disturbances will exacerbate hot flushes.

DUTCH test

This dried urine test looks at your hormone levels and their metabolites. It also includes cortisol and DHEA which helps to evaluate stress levels felt throughout the day and which may be contributing to your symptoms. This test will identify how you metabolise oestrogen and therefore can support with the decision of hormone replacement therapy (HRT) if you are considering it. For more information on the test click here.

Thyroid function

It is worth checking thyroid function, as this commonly changes around menopause. Usually testing for markers such as: TSH (thyroid stimulating hormone), FT3 & FT, thyroid function tests can be sought privately or through your GP. Talk to us for further advice. Complete Thyroid Panel.

Metabolomix Plus

This finger prick test provides a fully detailed analysis of individual vitamins, minerals, phytonutrients and amino acids status, markers for gastrointestinal function, oxidative stress and the nutrient and toxic elements clearance. It helps to identify your nutritional needs, which if supported appropriately, could help with the transition into menopause by making sure your body has everything it needs for optimal health. Read here for more information.

Our Nutritional Therapy team are experts in helping guide women through this important life stage, contact us today. For more information about Nutritional Therapy for hormonal balance click here.

Want more advice?

Talk to us

Products that may help

A selection of products chosen by our team to support this condition, all meeting our Therapy Approved standards.

Helios

Tissue salts 8 - Mag phos

Gentle relief for cramps and spasms

£8.95
Viridian

Red Clover Extract (60 Caps)

Plant isoflavones for menopause comfort

£16.95
Viridian

Menopause Complex

Botanical support for symptoms of menopause

From £27.20

Complete Thyroid Panel

Comprehensive thyroid insight for targeted care

£160.00

Complete Hormone Panel - DUTCH Complete Test

Detailed hormone insights for balanced wellbeing

£289.00
Dr. Hauschka

Sage Purifying Bath Essence (100ml)

Warmth and freshness for every bath

£18.50
Miscellaneous

Wild Yam Body Oil

Herbal body oil for balanced skin

£19.99
Miscellaneous

Wild Yam Skin Cream Unscented

Highly versatile, multi-purpose botanical skin cream.

From £19.99
Cytoplan

Oestrogen Balance Support 60 Capsules

Targeted nutrient complex formulated for oestrogen metabolism

£29.99
Cytoplan

Menopause Support (60 Caps)

Natural support through menopause and beyond

£34.99
Natures Answer

Black Cohosh Extract (30ml)

Gentle support for hormonal transitions

£15.99
Cytoplan

Perimenopause Complex (60 caps)

Support for perimenopause and wellbeing

£32.99
Wild Nutrition

Peri + Menopause Biotic (30 caps)

Specialist probiotic for perimenopause

£40.00
Wild Nutrition

Perimenopause Complex (60 Caps)

Perimenopause support for mood and energy

£37.00
Wild Nutrition

Menopause Complex for Women (60 caps)

Botanical support for menopausal balance

£37.00
Wild Nutrition

Ashwagandha Plus KSM-66 (60 caps)

Supporting relaxation and adrenal balance

£26.50
Terranova

Dong Quai Soya Sprout Complex

Whole botanicals for hormonal balance

From £17.85
Pure Encapsulations

Menovive (60 Caps)

Botanical support for menopausal comfort

£67.15
Pure Encapsulations

Liver GI (60 capsules)

Comprehensive liver and gut support

£39.00
A Vogel

Menoforce Sage Tablets

Daily sage relief for menopause

From £15.99
A Vogel

Stinging Nettle Urtica Drops (50ml)

Organic stinging nettle for daily wellness

£13.99
Aqua Oleum

Rose Water Spray (100ml)

Gentle floral toner for sensitive skin

£12.99
Viridian

Sage 400mg - Organic

Organic sage for balance and digestion

From £9.45
Viridian

Herbal Woman Complex - Organic

Natural support through hormonal change

From £10.95
Viridian

Dong Quai Extract (60 Caps)

Gentle female tonic from Far East

£26.35

Disclaimer

Please note that the information contained within this website does not and should not replace medical advice, and is not intended to treat or diagnose. We always recommend you consult with your doctor. Our Nutritional Therapy team is highly trained and we offer one to one Nutritional Therapy Consultations, which are designed to be complementary to any medical treatment from a functional medicine approach, as well as offering a preventative & optimal health focus.

Academic References

[i] Huang AJ, Grady D, Jacoby VL, Blackwell TL, Bauer DC, Sawaya GF. Persistent Hot Flushes in Older Postmenopausal Women. Arch Intern Med. 2008;168(8):840–846.

[ii] Perimenopause: Rocky road to Menopause (2022) Harvard Health. Available at: https://www.health.harvard.edu... (Accessed: November 3, 2022).

[iii] Messina M. Soy foods, isoflavones, and the health of postmenopausal women. Am J Clin Nutr. 2014 Jul;100 Suppl 1:423S-30S. doi: 10.3945/ajcn.113.071464. Epub 2014 Jun 4. PMID: 24898224.

[iv] Cetisli NE, Saruhan A, Kivcak B. The effects of flaxseed on menopausal symptoms and quality of life. Holist Nurs Pract. 2015 May-Jun;29(3):151-7. doi: 10.1097/HNP.0000000000000085. PMID: 25882265.

[v] Bommer S, Klein P, Suter A. First time proof of sage's tolerability and efficacy in menopausal women with hot flushes. Adv Ther. 2011 Jun;28(6):490-500. doi: 10.1007/s12325-011-0027-z. Epub 2011 May 16. PMID: 21630133.

[vi] Low Dog, T. (2005). ‘Menopause: a review of botanical dietary supplements’, Am J Med. 19 (118), pp. 12B:98-108

[vii] Geller SE, Shulman LP, van Breemen RB, Banuvar S, Zhou Y, Epstein G, Hedayat S, Nikolic D, Krause EC, Piersen CE, Bolton JL, Pauli GF, Farnsworth NR. Safety and efficacy of black cohosh and red clover for the management of vasomotor symptoms: a randomized controlled trial. Menopause. 2009 Nov-Dec;16(6)