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Hot Flashes: Possible Causes and Possible Treatments: Editorial

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The device did record activity akin to a hot flash. Otte et al(9) state that hot flashes can be differentiated from exercise-induced sweating, but this article nor the one referenced to support this
statement (12) provides any data to definitively prove this. The ability to pick up skin conductance from various sweating etiologies may explain why hot flash physiologic monitors pick up more ‘‘hot flashes’’ than do participant diaries. Next,
these physiologic measures of hot flashes can be cumbersome, expensive, and not well tolerated by participants. This is particularly true if they are used to measure hot flashes over several days to weeks, as opposed to on a single day.

There is no substantial information to judge whether hot flash changes over time (from a baseline week to different times after treatment has been initiated) are better measured using sternal skin conductance monitors versus hot flash diaries.

Such information should become available before widespread use of these devices, in lieu of participant diaries. We suspect, in the end, that both participant diaries and physiologic measures will provide complimentary information.

Thus, in total, we agree with Otte et al (9) when they state ‘‘that the perception of a hot flash is just as important to investigate in the absence of an objective marker of that hot flash.’’

At the current time, participant reported outcome measures of hot flashes should be considered to be the criterion standard because they, currently, are in other symptom control trials, looking at things such as pain, nausea and vomiting, and treatment-induced peripheral neuropathy.(14)

Acupuncture as a Hot Flash Treatment

With regard to hot flash treatments, there is a study in this issue by Park et al (15) about the use of moxibustion, a specialized form of acupuncture, to alleviate hot flashes. It is difficult to evaluate the contribution of this exploratory pilot study for a couple of reasons. There was no attempt to use an adequate control arm, understanding the difficulties related to devising a placebo for the studied procedure. It should also be noted that a placebo effect of 50% is not unusual.

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EmpowHER Guest

Good Info

January 7, 2015 - 11:12pm
EmpowHER Guest

Thanks for the informative article you have provided regarding hot flashes and the after effects. One of my relatives who is having 50 years, was suffering from the hot flashes is searching for a treatment. I am sure this article would be helpful for us.

May 29, 2013 - 10:47pm

Hot flashes are experienced by many women, but not all women undergoing menopause experience hot flashes. A hot flash is a feeling of warmth that spreads over the body, but is often most strongly felt in the head and neck regions. Hot flashes may be accompanied by perspiration or flushing. Hot flashes usually last from 30 seconds to several minutes. Although the exact cause of hot flashes is not fully understood, hot flashes are thought to be due to a combination of hormonal and biochemical fluctuations brought on by declining estrogen levels.
Menopausal symptoms can be caused due to Lower level of estrogen and progesterone. But estrovera might be help you to solve all the menopausal issues like vaginal discomfort, hot flashes, loss of libido, mood swings, insomnia, weight gain and more.

March 12, 2013 - 2:52am
EmpowHER Guest

Don't overlook the power of food to help with hot flashes -- everything from strawberries to garlic! http://www.womentowomen.com/menopause/hotflashesnutritionalrelief.aspx

Women to Women Contributor

October 9, 2012 - 8:36am
EmpowHER Guest

Some natural herbs and supplements help women with hot flashes. Black cohosh, dong quai, flaxseeds and soy can be quite beneficial.

:) Elizabeth


September 24, 2009 - 8:42am

I had 50+ hot flashes a day. My doc put me on an adrenal support supplement (all natural). I don't feel that hot flashes need to be addressed with drugs, there are natural alternatives that are effective. I get no side effects and have not hot flashed since I started taking the supplements regularly.

From how it was explained to me, since I wore down my adrenals living a stressful life, I needed supplementation to build back up my adrenals. I reduced my stress and started doing yoga as well.

Hot Flashes are your bodys way of trying to regulate it's temperature, that's where the adrenals come in... when those are not working properly.. your body can't regulate.

September 21, 2009 - 7:08am
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We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.


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