What can I do to help with hot flashes?

There are many ways to manage hot flashes. First, there are lifestyle changes that may help, including

• taking steps to cool yourself down, including dressing in removable layers, carrying a portable fan, and drinking cold drinks

• avoiding food and drinks that can trigger hot flashes, such as alcohol and caffeine

• quitting smoking if you smoke

• losing weight if you are overweight

Some women also find that meditation can help with hot flashes.

Medication is an option too. Taking estrogen (a type of hormone therapy) has been shown to be the most effective treatment for the relief of hot flashes and night sweats. If you still have a uterus, estrogen is taken with the hormone progesterone. Another option is a medication that combines estrogen with a drug called bazedoxifene. This medication is also used to help prevent bone loss.

Nonhormonal medications may help with hot flashes as well. These include some antidepressants, an antiseizure and nerve pain medication called gabapentin, a blood pressure medication called clonidine, and a medication called fezolinetant. Talk with your ob-gyn about the risks and benefits of these medications.

You may also hear about:

• Plants and herbs—Soy, black cohosh, and other regional or cultural herbal remedies have been used for relief of menopause symptoms. Know that only a few of these substances have been studied for safety and effectiveness, and these products are not regulated by the U.S. Food and Drug Administration (FDA). If you take one of these products, be sure to tell your ob-gyn.

• Bioidentical hormones—These hormones come from plant sources and are similar to hormones made by the body. Some bioidentical hormones are custom-made by compounding pharmacies using a prescription from a health care professional. Compounded medications are not regulated by the FDA. This means they are not reviewed for safety and effectiveness. The American College of Obstetricians and Gynecologists (ACOG) does not recommend their use.

Talk with your ob-gyn about options that are right for you.

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This information is designed as an educational aid for the public. It offers current information and opinions related to women's health. It is not intended as a statement of the standard of care. It does not explain all of the proper treatments or methods of care. It is not a substitute for the advice of a physician. Read ACOG’s complete disclaimer.