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Hot flushes and night sweats

Words by Rockmy Team
Image of three midlife women, dressed in beautiful clothes in a rowing boat, two are in the foreground and one blurred in the back, they are on a river or lake to represent Hot flushes and night sweats

The hot flush (or flash, as it’s called in the US) is experienced by up to 80% of those going through the menopause, and is the most common symptom. 

Often accompanied by extreme sweating (known as vasomotor symptoms), a hot flush is caused by changes in hormone levels upsetting the bit of the brain that regulates temperature.  

Basically, your body thinks it is overheating even when it isn’t, and things like a hot drink or alcohol, eating spicy food, stress, or sitting in the sun can exacerbate symptoms.  

A night sweat is a hot flush that happens at night – the sweat is a chemical reaction that opens up the blood vessels in the skin causing a feeling of sudden heat. Sweat is released to dispel that heat.  

“Hot flushes usually last from three to five minutes.”

They vary in severity – some women find them nicely warming but around 20% are instantly drenched and scarlet in the face, which can affect work, social occasions and disrupt sleep.  

They usually continue for about two years, but some women may suffer from them all their lives. 

Rockmy Menopause "Everything you need to know" course, a four-part masterclass with Dr Katie Barber.

 To cool your flushes  

  • Avoid alcohol and spicy foods and cut down on caffeine.  
  • Eat a healthy diet rich in fruit and vegetables, wholegrains, soya products and flax seed, supplemented with vitamins B and D and magnesium, which can be helpful. 
  • Avoid clothes made from synthetics and wear loose cotton layers.  
  • Establish a healthy sleep hygiene routine – keep rooms fairly cool by opening a window, use a fan if you need to, and layer your bedding to avoid one thick, heavy duvet. 
  • Invest in a fan or portable air conditioning unit. 

 

This resource has been reviewed and revised by Anthony Singh.

Last updated: June 2025

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ABOUT THE AUTHOR

Image of Rockmy Clinician Anthony Singh, Head Clinical Pharmacist for North West Leicestershire GP Federation and Menopause Specialist.
Anthony Singh
Anthony is the Head Clinical Pharmacist for the North West Leicestershire GP Federation and a British Menopause Society (BMS) accredited Menopause Specialist.