Hot Flashes & Night Sweats
The most common perimenopause symptom — affecting up to 80% of women during the transition.
What's Happening
Hot flashes are sudden waves of heat, often accompanied by sweating and flushing. Night sweats are hot flashes that occur during sleep and can significantly disrupt rest. Both are caused by the hypothalamus becoming more sensitive to small temperature changes as estrogen declines.
Supplements Worth Considering
Black Cohosh
Most studied botanical for hot flashes. Some trials show meaningful reduction in frequency. Best evidence for short-term use (up to 6 months).
Sage Leaf Extract
Small studies show reduction in hot flash frequency. Good safety profile for short-term use.
Phytoestrogens (Soy Isoflavones)
Weak estrogenic effects. Modest benefit seen in some trials. Avoid if history of hormone-sensitive conditions.
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When to See Your Doctor
- →Hot flashes are severely disrupting sleep or daily function
- →Symptoms started suddenly or are unusually severe
- →You are considering hormone therapy (HRT)
- →Night sweats are accompanied by unexplained weight loss or other symptoms
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