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ArticlesTopic 09
Hot flashes, night sweats and the body that suddenly changed the rules.
Menopause & HormonesEvidence check
Clinical hypnosis is one of the nonhormone hot flash treatments with the strongest rating from the Menopause Society. In a 2013 trial, five weekly sessions cut hot flashes by about 74% versus 17% with a comparison program. A 2025 trial found self-guided audio recordings also beat a sham recording, with a smaller difference.
Menopause & HormonesExplainer
A little shrinking with age is common, but height loss can also be the only sign of spine fractures that never hurt. US bone guidelines set clear lines: 1.5 inches from your young-adult height, or 0.8 inches since your last measurement. Here is what those numbers mean and what to ask for.
Menopause & HormonesEvidence check
Many women say their body changed shape around menopause even though the scale barely moved. Body scans of 1,246 women in the SWAN study found why: weight kept its usual slow climb, but fat gain doubled and lean tissue started to fall. A second study found fat shifting to the middle, around the organs. Here is what the scans showed, why metabolism isn't the whole story, and what helps.
Menopause & HormonesEvidence check
Your mother's age at menopause is a useful clue to yours, but not a forecast. In the Framingham Heart Study, genes explained about half the variation in when women reached menopause, yet the link between mothers and daughters was modest. In a Scottish survey, women whose mothers had early menopause had about six times the odds of early menopause themselves. Here is what the studies show.
Menopause & HormonesExplainer
A few more chin hairs after menopause are common. The hormone balance shifts, and PCOS is the most frequent cause of excess male hormones at this age. Rarely, an ovarian or adrenal tumor is behind it. Endocrinology reviews name the red flags: hair that appears suddenly and spreads fast, a deepening voice, or other masculine changes. Here is how to tell the difference and what testing involves.
Menopause & HormonesEvidence check
Oxybutynin, an old overactive-bladder medicine, is now on the Menopause Society's list of recommended nonhormone treatments for hot flashes. In a 6-week trial in 150 women, many after breast cancer, it cut hot flashes more than placebo. Side effects like dry mouth were common, and longer-term brain concerns with this drug class are worth discussing.
Menopause & HormonesEvidence check
Snoring, morning headaches and daytime sleepiness after menopause often get blamed on hormones alone. But in a Wisconsin sleep-lab study of 589 women, postmenopausal women had 2.6 to 3.5 times the odds of sleep-disordered breathing, even after accounting for age and weight. A follow-up found breathing pauses rose with each year past the transition. Here is what the studies show and when to ask for a sleep test.
Menopause & HormonesEvidence check
Hot flashes can last well past 60. Guidance says hormone therapy's balance is favorable for most women who start before 60 or within 10 years of menopause, and less favorable after that. Here is what the trial numbers looked like by age, why vaginal estrogen is a separate question, and what to ask.
Menopause & HormonesEvidence check
Hot flashes are supposed to be over by 60, but for many women they aren't. In an Australian survey, 6.5% of women aged 60 to 65 still had moderate to severe hot flashes or night sweats, and few were being treated. In the US SWAN study, women whose flashes began early had them for a median of more than 11.8 years. Here is what the numbers show and which treatments are still on the table.
Two US labels give different water instructions. Find the directions for the patch in your carton.
Menopause & HormonesEvidence check
Skin loses collagen fastest in the first years after menopause, about 30% in five years by one widely cited estimate. Older biopsy studies found more collagen in women given hormone implants. A four-year randomized trial of modern hormone therapy found no difference in facial wrinkles or firmness. Here is what changes, what the trials show, and what helps thin, dry skin.
Menopause & HormonesExplainer
The US Veozah label excludes even weak CYP1A2 inhibitors. Cimetidine is one of them. Bring your heartburn packet to the pharmacist before combining medicines.
