Hot Flushes: Why They Happen and Practical Ways to Cope

Few symptoms are more closely associated with menopause than the hot flush. 

One moment you feel perfectly comfortable. 

The next, an intense wave of heat seems to rise through the body, often followed by sweating, reddening of the skin and occasionally a racing heartbeat. 

At night, the same process can become a night sweat and disturb sleep. 

Why do hot flushes happen? 

Changing hormone levels can affect the part of the brain involved in temperature regulation. 

This can make the body’s internal thermostat more sensitive. 

A temperature change that previously caused no noticeable reaction may now trigger heat loss mechanisms such as sweating and increased blood flow to the skin. 

Look for your triggers 

Triggers vary between women, but some commonly report that flushes become worse after: 

  • alcohol 

  • caffeine 

  • very hot drinks 

  • spicy meals 

  • stress 

  • warm rooms 

A short diary can be surprisingly helpful. 

You do not need to record your life indefinitely. A week or two may be enough to identify an obvious pattern. 

Practical measures 

Simple measures can include: 

  • dressing in removable layers 

  • keeping the bedroom cooler 

  • choosing breathable nightwear 

  • keeping water nearby 

  • reducing a trigger if you discover one 

  • maintaining regular physical activity 

Stress management may also help some women, particularly where anxiety appears to trigger or intensify flushing. 

When to seek advice 

Not every episode of sweating or flushing is necessarily caused by menopause. 

If symptoms are new, severe, associated with other unexplained symptoms, or causing major disruption, discuss them with your GP or another qualified healthcare professional. 

You do not have to simply endure severe symptoms. 

The objective is not to compete over who can “cope” with menopause best. 

It is to discover what helps your body. 

Internal links 

  • Article 1 

  • Article 4: Poor Sleep 

  • Article 5: Palpitations 

  • Book page 

Facebook post 

What sets off your hot flushes? 

For some women it is alcohol. For others caffeine, stress, hot rooms — or seemingly nothing at all. 

A very simple symptom diary can sometimes reveal patterns you haven’t noticed. 

Linda looks at why hot flushes happen and some practical ways of making them easier to live with. 

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