Take the heat off

Dr Amanda Newman, from Jean Hailes for Women’s Health, in Melbourne, reveals the treatments backed by science that you can trust to keep your cool:

HORMONE THERAPIES

“Menopausal Hormone Therapy (MHT) is the most effective way to manage hot flushes,” Dr Newman says. “A combination of oestrogen and progestogen, it can be taken in tablet, skin patch or gel form. Alternatively, you can opt for a progestin-containing intrauterine device (inserted into the uterus), or those concerned with vaginal drying can try vaginal oestrogen cream or pessaries (dissolvable tablets inserted into the vagina).”

NON-HORMONAL THERAPIES

“Paroxetine, along with other

SSRIs and SNRI drugs (used to treat depression and anxiety) have been found to reduce intensity and frequency of hot flushes,” Dr Newman says. “While Clonidine (blood pressure medication) and Gabapentin (anti-seizure medication) are also commonly prescribed for hot flushes and are considered safe.” Note: Gabapentin can cause drowsiness.

NATURAL THERAPIES

“There are many alternative products out there, but testing is not as rigorous as prescription medications, so seeking advice from a professional is recommended,” Dr Newman adds.