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Understanding Vasomotor Symptoms of Menopause: What You Need to Know

Writer: Monica Simpson, DNP, APRNMonica Simpson, DNP, APRN
An gray haired woman wipes sweat from her brow as a fan blows on her.
Hot Flashes

Menopause is a natural stage of life that marks the end of a woman's reproductive years. While it's a normal transition, it often comes with various symptoms that can affect daily life. Some of the most common and bothersome symptoms experienced during menopause are vasomotor symptoms. In this article, we'll delve into an explanation of vasomotor symptoms, discuss why they occur, and explore non-medical treatments. Pharmacologic management of vasomotor symptoms should be discussed with your healthcare provider.


What are Vasomotor Symptoms?


Vasomotor symptoms refer to a group of symptoms related to the regulation of blood vessels and body temperature. The most well-known vasomotor symptoms of menopause are hot flashes and night sweats.

Hot Flashes: Hot flashes are sudden feelings of warmth that spread over the body, often accompanied by sweating and a flushed appearance. They can occur at any time of the day or night. They can disrupt sleep or concentration.

Night Sweats: Night sweats are excessive sweating during sleep that is episodic and often leads to waking up feeling drenched in sweat and needing to change clothes or bedding.


Why Do Vasomotor Symptoms Occur?


The exact cause of vasomotor symptoms during menopause is not fully understood, but hormonal changes play a significant role. Fluctuations in estrogen levels can affect the hypothalamus, the part of the brain that regulates body temperature. This disruption in temperature regulation leads to the characteristic hot flashes and night sweats experienced by many menopausal women.


What Can I Do to Treat Them?

While hormone replacement therapy (HRT) and medications are available options for managing vasomotor symptoms, many women prefer to explore non-medical treatments first. Here are some non-medical strategies that may help alleviate vasomotor symptoms:

  1. Mindfulness Meditation: Practicing mindfulness meditation can help reduce stress levels, which may then decrease the frequency and severity of hot flashes and night sweats.

  2. Yoga: Regular yoga sessions can promote relaxation and stress relief, potentially easing vasomotor symptoms.

  3. Acupuncture: Traditional Chinese medicine suggests that acupuncture may rebalance the body's energy flow, thereby reducing hot flashes and night sweats.

  4. Herbal Supplements: Some herbal supplements like black cohosh and red clover have been reported to alleviate vasomotor symptoms in some women. However, it's essential to consult with a healthcare provider before trying any supplements. These may interact with current medications or be contraindicated for certain medical diagnoses.

  5. Regular Exercise: Incorporating regular physical activity into your routine can help regulate hormones and improve overall well-being, potentially reducing the severity of vasomotor symptoms.

  6. Cooling Techniques: Keep your body temperature regulated by using cooling techniques such as wearing breathable clothing, using fans, and keeping hydrated.

  7. Dietary Changes: Avoiding triggers like spicy foods, caffeine, and alcohol, while increasing intake of foods rich in phytoestrogens (e.g., soy products, flaxseeds) may help balance hormone levels and reduce vasomotor symptoms. Women with a history of breast, uterine, or ovarian cancer should avoid phytoestrogens. It is best to discuss this with your medical provider.

A gray haired woman practicing yoga

Understanding vasomotor symptoms of menopause is the first step toward finding relief. By exploring non-medical treatments and making lifestyle adjustments, women can effectively manage these symptoms and improve their quality of life during this transitionary period.


Further Reading

  • North American Menopause Society. (2024).  Expert Answers to Frequently Asked Questions About Menopause. Link

  • Mayo Clinic. (2022). Menopause. Link

  • National Institute on Aging. (2021). Menopause. Link

  • Harvard Health Publishing. (2019). Mindfulness meditation may ease menopausal symptoms. Link

  • The New York Times. (July 18, 2023) 7 Books to Guide You Through Menopause.

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