Lifestyle Modifications 

Women should identify precipitating factors that increase the severity of hot flashes and try to avoid them.It is helpful to avoid spicy foods, hot beverages, caffeinated beverages, alcohol and cigarettes.It is recommended to dress in layers, with garments that are easy to take off and put back on.It is suggested to pick clothes with fabrics that breathe; one should choose cotton over synthetics.Women should avoid hot showers or warm baths before bedtime.An increase of soy products in the diet may help. 

Estrogen Replacement Therapy 

Estrogen replacement therapy is, without question, the most effective treatment for the management of hot flashes and night sweats. An initial response to therapy is usually noted within a week or two of starting therapy, with a maximal effect established within four to eight weeks. Estrogen replacement should be considered by those women who experience disruption in their lives from symptoms and have medical approval for therapy. For women who can not take estrogen or those who choose not to, alternative therapies exist in addition to lifestyle modifications. 

Other Medical Therapies

Other medications are sometimes used to treat the vasomotor symptoms of menopause with varying levels of success. These include progestins, androgens and Clonidine (a medication used in the treatment of high blood pressure). 

Additional Therapies

Vitamin and supplement therapy are also used by some women for symptom relief. Vitamin E is frequently described as therapy for hot flashes although its usefulness has not been documented scientifically. When used in recommended doses, it is thought to have valuable antioxidant activity and is not harmful. 

Foods derived from soy products contain compounds known as isoflavones, which have weak estrogen activity in the body. It is thought that regular intake of soy containing products not only provides a healthy source of protein, but may play a role in decreasing hot flashes as well. There are many herbal compounds sold, singly or in combination, for the relief of menopausal symptoms. The usefulness of many of these products has not been scientifically documented. An extract from Cimcefuga racemosa, called Black Cohosh (frequently marketed as "Remifemin"), is the most commonly prescribed agent for the relief of menopausal symptoms in Germany. Some women may find relief utilizing relaxation techniques, yoga, biofeedback and acupuncture.

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