Causes and risk factors
Hot flushes are more commonly experienced by a woman after menopause. Hormonal changes are one of the causative factors for it. Although the exact cause is not known, decrease estrogen levels are one of the contributing factors. The exact modus operendi is still not clear but is has been put forth that certain dysfunction in the body’s temperature regulating system results in hot flushes. Apart from this hot flushes can also occur due to intake of certain medications or certain diseases. It commonly occurs in thyroid affection and carcinoid syndrome etc. Emotional upsets and psychological disturbances can also lead to hot flushes.
Clinical presentation
The patients comes up with complaints of feeling of heat or warmth, it is more felt in the upper part of the body and on the face. This sensation lasts from few seconds to few minutes. Sweating occurs. The skin becomes red. It is more commonly seen at night (night sweats). Poor memory and lack of concentration, disturbed sleep are some of the other complaints. Rapid beating of the heart and mood swings are other presenting complaints. This all can lead to increase irritability.
Diagnosis and Investigations
Usually hot flushes occurring during menopause do not need any investigations to be done; diagnosis is confirmed on the basis of the symptoms narrated and the local examination carried out by the gynecologist. If certain other symptoms also persist, certain sets of investigations can be advised by the consultant.
Treatment
The treatment consists of administration of medications. Hormonal replacement therapy is suggested. If hot flushes are due to some underlying diseases it is corrected by appropriate line of treatment. Certain lifestyle changes like healthy diet, regular exercises, engaging in some positive recreational activities, avoidance of smoking and alcohol and losing weight in cases of obesity can help for smooth menopausal transition.
Other modes of treatment:
Certain other modes of treatment can also be helpful in coping up the symptom. Taking into consideration the symptoms in holistic way, homoeopathy can offer a good aid for the relief of the symptoms. The Ayurvedic system of medicine which uses herbs and synthetic derivates can also be beneficial in combating the complaints. Yoga exercises have also been helpful. Acupuncture which is the science of insertion of fine needles on the certain stimulating spots on the body has proved to be effective.
Recent update:
As per an article given by The North American Menopause Society, a new study has shown that weight loss can help to manage the hot flushes during menopause.
