

When morning comes, you’re too exhausted to get through the day. It’s a never-ending cycle that affects your ability to focus and perform daily activities. It even affected some of my relationships. But I know I’m not the only one.
Vasomotor symptoms of menopause (VMS), also known as hot flashes and night sweats, affect up to 8 out of 10 women and can last for 8 to 10 years. This is a major symptom of menopause and can affect your daily life.
The average age of menopause in the United States is 51, but VMS can begin as early as your late 30s and last until your 70s. Hot flashes usually last only a few minutes, but can occur anytime, anywhere, anywhere from 1 to 10 times a day. Black women experience VMS longer and more frequently than other racial and ethnic groups.
What Causes VMS?
During perimenopause and menopause, many women experience fluctuations in the hormone estrogen. This hormone helps manage temperature changes in the body. “Changes in hormone levels affect the areas of the brain responsible for temperature regulation,” said Dr. Robin Noble, senior medical advisor at Let’s Talk Menopause.
When estrogen drops, your body thinks your core temperature is rising. Your blood vessels begin to dilate and you begin to sweat to dissipate heat. Your skin may become clammy, your heart may pound, and you may feel anxious. Your face, neck, and chest may also become red.
We now know that hormonal fluctuations are a major cause of hot flashes. However, other factors that cause hot flashes include:
- spicy food
- Indian summer
- heavy clothes
- stress
- alcohol
- smoking
- overheated
- certain medications
VMS can affect quality of life
Nearly half of women rate their VMS as moderate to severe during the first two years after their last menstrual period. Moderate symptoms include mild sweating and usually do not significantly disrupt a woman’s life. However, severe VMS can make it difficult to concentrate on daily activities such as going to work or running errands.
VMS can be devastating and seemingly disconcerting. “The symptoms are discomfort, flushing, redness. For many people, this can stop them in their tracks,” Noble said. It’s not easy to concentrate on what you’re doing when your face suddenly turns red and your body feels like a furnace.
VMS can also disrupt sleep, cause anxiety, and negatively impact relationships. “It impacts family, intimacy, relationships with the outside world, and certainly the workplace,” Noble said. As you try to manage your symptoms, you may not want to go out with friends or be intimate with your partner.
VMS can also affect your diet and exercise ability. If you’re sweating at night and lacking energy from lack of sleep, you may not be able to make healthy food choices or feel like moving your body the next day.
Dealing with VMS Symptoms
Fortunately, there are ways to reduce VMS symptoms. Lifestyle changes, such as losing weight; Eat a healthy plant-based diet. Avoid alcohol, hot drinks and caffeine. And quitting smoking can help. Adjusting your bedroom temperature at night, sleeping with a fan on, and drinking cold water before bed are other ways to alleviate VMS.
Noble suggests wearing layers of clothing to keep sweat from getting into your clothes. She also recommends predicting when hot flushes are most likely to occur to help you prepare. “The more people understand what’s going on, the more empowered they are,” she said.
The Menopause Society also suggests that cognitive behavioral therapy and clinical hypnosis may be helpful. If these strategies don’t work, consider asking your health care provider (HCP) about medication. Studies have shown that hormone therapy can control hot flashes and has the added benefit of supporting cardiovascular and bone health.
There are also non-hormonal medications known as neurokinin receptor antagonists that are FDA-approved as options for treating hot flashes due to menopause. Additionally, one antidepressant is FDA-approved to manage hot flashes. “We have a variety of options and can tailor them to the individual and their preferences,” Noble said.
When to see a health care provider for VMS
One study found that VMS is the top reason women make appointments with their HCP. However, Noble suggests scheduling a consultation. before I have menopausal symptoms. She counsels her patients when they are in their late 30s or early 40s.
Making an appointment with your health care provider before disruptive symptoms appear can help you feel better prepared. Having these conversations sooner can also tell you whether you’re at increased risk for other menopause-related problems, such as osteoporosis or cardiovascular disease, Noble said. “It’s important to get reliable information and not get caught up in all the areas of the internet selling supplements and other menopause products that may not be effective.”
When talking to your provider, be open and honest about your symptoms and concerns. If you feel that your symptoms are not resolving, it may be time to find another provider. With so many options available, no one needs to struggle with a VMS.
This training material was created with support from Astellas, a member of the HealthyWomen Corporate Advisory Board.
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