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Effective Natural Remedies for Hot Flashes

Dr. Saranne Perman
Medically Reviewed byDr. Saranne PermanMD
Updated09/11/24
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A hot flash is a sudden feeling of warmth in the upper body that many women experience during menopause. For some, these flashes are mild, but for others, they can be severe enough to disrupt sleep and make daily activities more challenging.

Systemic hormone replacement therapy (HRT) is the most effective treatment for hot flashes during menopause and may reduce their frequency by 75%.(1) However, some women may prefer natural treatments, especially if HRT isn't an option for them. Effective natural approaches include lifestyle changes, herbal remedies, and complementary medicine.

This article discusses the potential benefits of commonly used natural remedies for hot flashes. It's important to consult a doctor before trying new treatments, as they might interact with other medications or have side effects.

Dietary Modifications for Hot Flashes

Many food items can help reduce the frequency or severity of hot flashes:

  • Dairy products: Severe hot flashes can impact sleep quality. Studies suggest that dairy products are rich in the natural amino acid tryptophan, which may help improve sleep quality. Dairy products can also help lower the risk of fractures and premature menopause. Some healthy options include yogurt, milk, and cheese.(2) 

  • Healthy fats: Omega-3 fatty acids, found in healthy fats, can potentially help reduce the risk of heart conditions associated with hot flashes. Foods rich in healthy fats are fatty fish (mackerel, salmon, and anchovies) and seeds (flaxseeds, chia seeds, and hemp seeds).(3)

  • Whole grains: Research demonstrates that whole grains may help reduce the severity of menopausal symptoms. Barley, whole wheat bread, quinoa, and oats are some whole grain options.(4)

  • Fresh fruits and vegetables: These contain high amounts of minerals, vitamins, and antioxidants. A 2020 study suggests that women who eat fresh fruits and vegetables have fewer menopausal symptoms than those who don’t.(5)

  • Water: As women age, their body’s water content decreases, dropping to around 55% after menopause. This decline in water content, combined with the extra water loss from sweating during hot flashes, makes it essential to maintain good hydration. The National Institute on Aging suggests sipping cold water before bed to help cool the body and reduce symptoms.(6)

Conversely, the following foods may trigger hot flashes, and it’s best to avoid them:(6)

  • Spicy foods

  • Caffeinated or hot beverages

  • Alcohol

  • Highly processed foods like potato chips, candy, and fried foods

  • Foods and drinks high in sugar or salt 

Experts recommend keeping a symptom journal to identify which foods might trigger or worsen hot flashes.

Diet for hot flashes

Lifestyle Changes for Hot Flashes

These lifestyle changes may help manage hot flashes and improve overall health and quality of life:(7)

  • Mild-Intensity Exercise: Staying active might seem counterintuitive, but studies have shown that a sedentary lifestyle increases the risk of hot flashes. Engaging in activities like swimming, jogging, cycling, or brisk walking can be particularly effective in reducing their occurrence. It might also help to work out in a cool environment.

  • Yoga: This practice blends physical postures, breathing exercises, and meditation to help manage stress and promote relaxation. Studies suggest that yoga may help lessen the intensity or frequency of hot flashes.

  • Relaxation Techniques: Slow-breathing exercises and other relaxation techniques, like mindfulness meditation, may help reduce the frequency and severity of hot flashes by alleviating stress.

  • Hypnosis: A 2017 study demonstrated that hypnosis might be as effective as venlafaxine, a prescription medication, in managing hot flashes.(8)

  • Cognitive Behavioral Therapy (CBT): The North American Menopause Society recommends CBT to reduce the severity of vasomotor symptoms like hot flashes. It works by helping women manage their reactions to these symptoms.(9)

Other lifestyle modifications that may help women manage hot flashes during menopause include the following:

  • Dressing Appropriately: Wearing layers allows women to adjust their clothing when a hot flash starts. Natural fibers like silk, cotton, and linen are considered better clothing options than synthetic materials (rayon, polyester, and nylon), as they allow air to circulate and keep the body cool. 

  • Keeping the Environment Cool: Using a fan, cooling towels, or cold water can help manage hot flashes. It also helps to lower the temperature in the room at night and layer the bedding so it can be adjusted when needed.

Herbal Supplements for Hot Flashes

Some women may prefer herbal remedies to manage hot flashes. However, it's crucial to consult a doctor before trying new supplements, as they might have side effects or interact with other medications. Here are some widely used herbal supplements:(10)

  • Black Cohosh: It’s one of the most researched herbal supplements for managing menopausal symptoms like hot flashes. However, studies have shown mixed results regarding its effectiveness for hot flashes.

  • Red Clover: This supplement is rich in isoflavones, which are compounds believed to have estrogen-like effects. Despite this, there’s limited conclusive evidence that red clover leaf extract can reduce hot flashes.

  • Ginseng: Research suggests that ginseng may help with some menopausal symptoms, such as mood swings and sleep disturbances. However, it has not been shown to be effective for hot flashes.

  • Dong Quai: Used in traditional Chinese medicine for over 1,200 years to treat gynecologic conditions, dong quai has limited research on its effectiveness for hot flashes. It’s not recommended for women with fibroids or bleeding disorders, like hemophilia, or for those taking medications that affect blood clotting, such as warfarin, as it may increase the risk of bleeding complications.

  • Kava: This may help soothe anxiety, but there's limited evidence to support its effectiveness in reducing hot flashes.

  • Evening Primrose Oil: This supplement is believed to ease menopausal symptoms due to its fatty acid content.

How to Stop Hot Flashes During Menopause Naturally

Menopause is a natural phase in every woman’s life, but it’s often associated with symptoms like hot flashes. Experts recommend lifestyle modifications, such as eating healthy, exercising, and avoiding triggers, to manage these symptoms. Some women also turn to herbal remedies, like black cohosh and evening primrose, for additional relief. However, the efficacy of these remedies is not well-documented, and they might not be suitable for everyone. It’s important to consult a physician before starting any new herbal remedies to avoid potential complications. 

While these natural treatment approaches can help manage hot flashes, studies have shown that they work best when combined with medical options like hormone replacement therapy.

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment.