During menopause, the amount of estrogen in your body rapidly decreases. It can trigger a host of common symptoms, including hot flashes. This is when small and sudden elevations in the body’s core temperature lead to sweating and a feeling of intense inner heat.
Like menopause, hot flashes affect everyone differently. Some people experience mild hot flashes and don’t need any interventions. Others seek a wide range of options to relieve it.
The first step to addressing your hot flashes is taking notes on how often and when they occur. This will allow you to gain a better understanding of what treatment and coping strategies could work best for you when speaking with a healthcare professional.
We use the term “women” in this article to reflect the term assigned at birth. However, gender is solely about how you identify, independent of your physical body.
1. Hormonal replacement therapy (HRT)

Since hot flashes are the result of decreased estrogen in the body during menopause, it’s possible to take hormone replacement medication to help with this. These synthetic hormones help regulate estrogen and progesterone levels in the body.
Examples of hormone treatments that can help with hot flashes include:
- pills
- implants
- patches
- vaginal rings
They can also be beneficial in helping with other menopausal symptoms, such as:
- vaginal dryness
- sleep problems
- osteoporosis
Potential side effects can include an increased risk of the following:
- heart attack
- stroke
- blood clots
- dementia
- breast cancer
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2. Nonhormonal treatment
Some women can also experience other health issues that mean they can’t take hormone replacements. Nonhormonal options include low doses of antidepressants that help increase the levels of serotonin in the brain, such as paroxetine.
Paroxetine is also an effective treatment for generalized anxiety and depression. While not known to be an addictive drug, it can be habit-forming and does come with adverse side effects.
Potential side effects of paroxetine include:
- cognitive impairment in older adults
- breast cancer risk
- weight gain
- aggression
3. Lifestyle measures
Making small, but regular adjustments in your daily routine can help you with hot flashes. These include:
- lowering the temperature of your bedroom
- taking small sips of water before bed
- avoiding alcohol, if applicable
- dressing in layers
The National Institute on Aging suggests that maintaining a moderate weight can also help reduce the severity and frequency of hot flashes.