Published on:
February 6, 2024

Understanding and Relieving Hot Flushes: A Guide for Perimenopausal Women

If you are here because you are experiencing hot flushes, or to support someone who is, then keep reading. We know that around 35-50% of women in peri-menopause and beyond are affected by them, and they can appear at anytime. Hypnotherapy is one way that you can relieve the unpleasant sensation of hot flushes and interruption to daily life. I will explain how that works later but first lets discuss these pointless and irritating flashes.

 

Exploring the Causes of Hot Flushes

The medical name for hot flushes is vasomotor symptoms, this is where you experience a sudden and overwhelming sensation of bodily heat, sweating and flushing. The hot flash episodes usually start in the face or chest, are usually short lived and can happen at any time. Many women experience waking up in the night covered in sweat, but not everyone experiences this severity and can just feel warmer than usual. The most common time to experience this is in Peri-menopause with 60% of women experiencing them at the later stage of peri-menopause but they can last into post menopause, with 10% of women experiencing them up to 5 years.

 

Hormonal Fluctuations:

Although no one is certain about what causes hot flushes they do come during peri-menopause and this is a time where the usual levels of hormones start to change. There is a link with Oestrogen levels, we know this as often managing Oestrogen levels helps to relief the hot flush symptoms. At a certain point in life our progestogen levels start to decline, this is usually the first stage of peri-menopause sometimes called early peri-menopause. There are some symptoms that come with this, but gradually the levels of Oestrogen start to decline as well, this triggers a spike of Follicular Stimulating Hormone (FSH)starts to increase in a last attempt to produce Oestrogen. It’s suggested that it’s the drop in Oestrogen that causes the hot flash, this is based on your normal levels as opposed the actual level of Oestrogen you produce. During Peri-menopause the levels increase and then drop often in more extremes and more inconsistently than before. Therefore it could be the big difference from high to low that is triggering the hot flush. The standard approach to manage this is HRT, this isa good option and the evidence does suggest an improvement in symptoms in women that are using Oestrogen therapy.

Neurotransmitter Imbalance:

Antidepressants or SSRI’s are sometimes prescribed for hot flushes for women who cannot take HRT. There is some evidence that they can help to reduce the severity of hot flushes which is likely to be serotonin involvement in the body’s temperature regulation (you may have hot or cold sensations with anxiety/panic attacks) The reason for low mood in menopause is related to the change in hormones that happens, the role of Oestrogen in the production and effectiveness of serotonin in the brain. When Oestrogen drops then serotonin is also less effective, we can produce this from other chemicals but HRT can often help to manage this. Therefore increase the effectiveness of serotonin, improve body temperature regulation. SSRI isn’t always a preferred option for people due to the side effects, and as it’s unlikely to help with mood improvement it might not be beneficial to use this.

Lifestyle Factors:

When considering the role of lifestyle there is some evidence around diet, exercise, smoking and alcohol which all have an impact of severity of symptoms. Looking culturally women in Japan report less instances of hot flushes compared to western cultures.

If you smoke then giving up will help with all menopause symptoms. Having a healthy and varied diet and regular exercise can also have overall benefits.

Hypnotherapy as a Holistic Approach to Hot Flush Management

As discussed HRT is the best option for managing hot flushes, with most women finding this helpful in reducing the symptoms. However there are certain conditions which are not compatible with HRT meaning this is no longer an option. While there is ground breaking new medicines being introduced to support this group of women, there is evidence that hypnotherapy can relief hot flushes.

Research carried out by Gary Elkins Ph.D professor of psychology and neuroscience at Baylor University, found that “While hypnotherapy is not widely understood by many people, it can regulate hot flashes and improve sleep by managing how temperatures are perceived and regulated in the brain,” Elkins said.“Hypnotherapy is a mind-body therapy, similar to mindfulness and guided imagery, that involves the focus of attention, a relaxed state and therapeutic suggestions.” Elkins’ research on hot flashes and sleep and hypnotherapy has been clinically shown to reduce hot flashes by up to 80%, more effective than any other hot flash management tool available, with the exception of HRT.

 

Further research in post-menopausal women in a randomised clinical control study found that those who used hypnotherapy had a mean reduction in frequency of hot flushes of 56% vs the control group with no hypnotherapy intervention of 12%.

How Hypnotherapy Works for Hot Flushes:

Hypnotherapy for hot flushes involves using self-hypnosis to guide your imagination to imagine certain situations, including increasing your body temperature voluntarily and then bringing it down using temperature dials, using cooling imagery to control the effect of the increase in body temperature.

How can hypnotherapy help with peri-menopause symptoms

While HRT is the best option for a lot of symptoms it cannot support with weight gain, joint pain, brain fog. It is not always suitable for certain conditions making it unavailable for some women. For these groups lifestyle changes can have a positive impact, such as stopping smoking, exercise and diet. Hypnotherapy can be an excellent tool to encourage these lifestyle changes and in turn support you in peri-menopause and beyond.

Hypnotherapy is also effective at pain management, focus and concentration and sleep quality, all things which are potentially worsened in peri-menopause.

What to expect during a session

We will discuss the symptoms initially to see if hypnotherapy can also support other issues such as joint pain, low mood, brain fog, lifestyle choices.

We will create a treatment plan based on what you want to achieve by coming to sessions. During these sessions either in person in Stamford, Lincolnshire, or Online nationwide, we will focus on visualisation techniques, self-hypnosis, creating preferred outcomes, dealing with low mood, increasing serotonin, having achievable goals.

 

Get in touch with Emma today to discuss how hypnotherapy can support you with hot flashes or other symptoms of peri-menopause.

 

 

Follow us on Instagram