When should hot flashes be treated?

If your hot flashes are mild and not bothering you much, they don’t always need treatment. But if they’re distressing, waking you up at night, happening often, or interfering with sleep, mood, work, or daily life, that’s usually the time to treat them.

Here at Alloy, we generally don’t think you need to wait until they become unbearable. Our medical team and Dr. Sharon Malone both make the point that bothersome hot flashes are worth treating, especially if they’re persistent. If you’re considering hormone therapy, current guidance says it’s usually started within 10 years of your last menstrual period, or before age 60, when it’s appropriate for you.

For treatment, hormone therapy is the most effective option for many women. If you want to read through the choices, our guide to hot flash remedies is a good place to start. If you want prescription options, we offer hormonal choices like the estradiol pill, estradiol gel, and Evamist estradiol spray. If you’d rather avoid hormones, low-dose paroxetine is an FDA-approved non-hormonal option for hot flashes and night sweats.

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For a short expert explanation, Dr. Sharon Malone talks about why treatment matters here.


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