Related Topics: Hot Flushes, Menopause, Natural Progesterone

The Four Main Reasons Why Women Get Hot Flushes

Hot flushes are the most common complaint for women going through menopause. Here are some of the reasons why!

AnnA Rushton

It seems that hot flushes are the bane of many women’s lives during menopause – and certainly generate the most interest when women get together!

Hot flushes come on without any warning and can range from being mildly uncomfortable to downright unbearable, and they have quite an effect on those around them too.

Symptoms can range from just a slight redness of the face to a full body sweat that leaves you wringing wet and generating enough heat to boil water, and for some women it is hot and cold sweats at night that can seriously disturb your sleep.

It’s estimated that around 30% of menopausal women will get some form of hot flushes. How affected you are will depend on several factors: your age, any hysterectomy or synthetic hormone use from Pill or HRT and of course our old favourite – the effects of oestrogen dominance on our hormones.

Hot flushes are very much more common in the Western world. There is no word in Japanese for instance to cover this phenomenon because they do not seem to suffer from it – unless they have switched to a predominantly Western diet.

If you’re unlucky enough to suffer from hot flushes this article will help you learn why they occur. If you’re not yet a sufferer, then it will help you gauge whether or not you are likely to become one.

The Reasons Why

Although some lucky women escape completely, there are some very good reasons why many of us experience these blasts of heat that we associate with menopause:

1. Blood Vessels

Hot flushes occur when the blood vessels below the skin dilate. This causes more blood to rush to the skin’s surface, and that is what makes you look red and flushed, and feel that tell-tale rise in temperature.

The body’s normal response to this is to try and cool you down, and it does this by making you sweat. What is unique about hot flushes is that this mechanism kicks in when the outside temperature can be very low and you do not have any signs of fever.

2. Fluctuating hormones

Well you know all about this during menopause, and in fact the changing levels of your hormones are the prime cause of hot flushes. When your hormone levels fluctuate they cause the temperature control mechanism in the body to be disturbed.

The centre which controls this is in a part of the brain called the hypothalamus. It seems that it’s changing levels of oestrogen and FSH (follicular stimulating hormone) that can upset this delicate balance.

Women having hot flushes usually have decreased oestrogen levels and increased FSH levels, but it is important to remember that it is the changes and fluctuations in the hormone levels – rather than the actual amount of hormone being produced – that produces hot flashes.

For the majority of women progesterone will help control their flushes, but if they are severe then a balanced bioidentical cream combining both progesterone and oestrogen will be more effective.

3. Surgical menopause

It’s to be expected that menopause symptoms come naturally when a woman’s childbearing years are coming to a close and the menopause or perimenopause is under way.

However, women who have a hysterectomy or their ovaries removed at an age when they would not normally be going through menopause are more likely to experience more severe and frequent hot flashes after the surgery than in a natural menopause transition.

This is usually referred to as a surgical menopause and the sudden drop in hormones can bring on severe symptoms in many cases.

Even if the ovaries are retained it’s no guarantee that an early menopause will not occur, as their effectiveness at producing progesterone will be affected and will diminish over time.

After a hysterectomy a combined bioidentical cream will replace the lost hormones as it is a natural form of HRT and not a synthetic one.

4. Stress

We are all subject to stress in our everyday lives and mostly we cope, but sometimes it is too much for us and there is no question that it affects our hormones.  

Progesterone in particular is depleted by stress and it is ironic, but not  helpful, that being anxious about having a hot flush or sweat in public is stressful and more likely to bring one on.

Try and identify what your main stressors are and do whatever you can to reduce or eliminate them where possible.

Doing everything you can to reduce your stress will help and learning relaxation techniques, or finding a regular outlet such as meditation, tai chi, yoga and a massage can all make a difference.

Adding phytoestrogens to your diet, in moderation, can be helpful, as can using Rescue Remedy, a herbal supplement made from flower essences. Just a few drops on the tongue has helped many women stay calm by carrying it in their bags or into a small bottle of water and sipping from it through the day.

So will staying in contact with friends and talking it out, as bottling up stress will only make it worse.

Helpful information:

These are some of the reasons behind hot flushes. I hope this article has helped explain why you may be feeling hot and bothered.

After all, knowledge is power, and some women do like to refer to their hot flushes as power surges!Start with your hormones and check their balance.

Some women need just bioidentical progesterone and others with more severe symptoms may need both hormones to get symptoms under control.

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AnnA Rushton | 12:43 pm, May 20th, 2018

Crystal at your age this is early to stop menstruating so please see your doctor but certainly bioidentical progesterone can be helpful but you would need to establish your hormone status with your doctor to see what your options are.

Crystal J | 1:00 pm, May 19th, 2018

Hi there,
I am 34 years old, I have been experiencing hot flushes, night sweats, hot and cold, mood swings 1 year ago, my menstrual cycle however only stopped 2 months ago, this is so depressing as I have been trying to have children since I was 17 years old not even so much as a miscarriage, I have had different partners who all went on to have kids after me, my symptoms seems to me like menopause, can this be reversed.

Shan | 1:44 am, May 14th, 2018

Had hot flashes all through the night and Day. Was miserable. I’m 45. Started juicing and eating organic. Hot flashes are gone and I feel so much better.

AnnA Rushton | 1:19 pm, April 5th, 2018

PJ Please email for individual help with your symptoms, giving them this information and the severity of your flushes, as they will be able to go into more detail than we can here.

Pj | 3:28 am, April 5th, 2018

I am 71 and had a histr? When I was 27. Sence I was 70 I have been having these. Is there something I could do to help my self?

AnnA Rushton | 9:27 am, January 26th, 2018

Please email for individual help with your symptoms Rose as they can give you more detailed help.

Rose | 8:38 pm, January 25th, 2018

I have suffered with migraines do to my period since 18 iam 58 no more periods occasional hot flash but still.get migraines…doctors still don’t have a cure except migraine meds..any suggestions.

AnnA Rushton | 9:11 am, January 25th, 2018

Serenity has safely been used by many women with both a risk of and treatment for breast cancer Elise and progesterone is also supportive of heart health. This article will be helpful:

Elise | 11:37 pm, January 24th, 2018

I started having terrible hot sweats and night sweats age 41. Last period was at age 55.5, and I am now 66.5, and I have had continuous sweats from age 41. Strong family history for cardiovascular illness and breast cancer. Painful intercourse. What advice can you give me?

AnnA Rushton | 11:28 am, October 16th, 2017

Speak to your doctor Bobbie as this is clearly hormonal and could be related to PMS. You may find this article helpful:

Bobbie waddell | 5:11 am, October 16th, 2017

Hi I’m Bobbie a 25 year old with 2 kids I have had a tubal but I am at a loss on what’s happening to me I have hot flashes not normal mood swings some times real aggressive minstrel cycles sexual urges more than normal hormonal out bursts seems like the slightest thing irritates me also not like me I’ve had panic attacks every once in a wile that take a bit to get over I am so stressed out this isn’t like me I do have a long family history on both sides of my family of premenstrual women I’m wondering if that’s ways going on I haven’t talk to a dr about it yet just need advice on what’s going on

AnnA Rushton | 10:28 am, October 1st, 2017

20-1, which is a combination cream with the majority ingredient of bioidentical progesterone plus a small amount of two natural oestrogens in a well-balanced formula, would be a natural replacement for HRT and best for hot flashes that are severe. If not vaginal dryness and they are not severe then Serenity would be better.

Haku choudhary | 1:22 pm, September 30th, 2017

I am 57 yrs and facing problem of hot flashes .for 7 yrs ,5 yrs premenopause &2 yrs post menopause. I had tab tibofen 2mg for 4 month s one yr back,still facing hot flashes though vagina ID not dry.

AnnA Rushton | 3:05 pm, September 24th, 2017

Ashley a depo contraceptive injection contains progestins and these do have side effects. As this will be active in your body for 3 months you need to discuss it immediately with your prescribing doctor to see how they can help you.

Ashley Fair | 6:28 am, September 23rd, 2017

I am 18 years old and for the last month or so I have been having what seems like hot flashes. I feel like my entire body is in a sauna. I will be laying in bed or at work and i can feel my body temperature rising which then causes me discomfort and the need to take all my clothes off. I drink a lot of water and am on the Depo shot, I do not know why this is happening, but its driving me crazy

Tammy Parker | 6:51 am, September 6th, 2017

I’ve been having hot flashes ever since I had my hysterectomy at a young age and I have even lost my desire for sex . I haven’t had sex in over 2 years but my husband knows that im not cheating on him ! I want my sex drive back and the hot flashes to stop , so please help me !!!

AnnA Rushton | 9:52 am, August 31st, 2017

RuthAnn such long term HRT use is helped by balancing with progesterone (Serenity) as you are likely to be having symptoms of oestrogen dominance. This article may be helpful:

RuthAnn Lowman | 4:06 am, August 31st, 2017

I am 71 years old and have been on estrogen for 31 years. I have worn an estrogen patch and recently just estrogen pills. Is there anything that can help me?

AnnA Rushton | 11:02 am, August 17th, 2017

Severe flushes often respond best to a combination cream such as 20-1, which is a combination cream with the majority ingredient of progesterone with two natural oestrogens added, Sharnette.

sharnette Andrea Watson | 5:24 am, August 17th, 2017

Omg!! How do you stop hit flashes this is bad I can’t take it.. helllppppp!!!!

AnnA Rushton | 12:01 pm, July 11th, 2017

Have you spoken to your doctor Cherie as there can be a medical reason for this, but if hot flush related then 20-1, which is a combination cream with the majority ingredient of progesterone with two natural oestrogens added, is best for severe sweats.

Cherie | 5:51 am, July 9th, 2017

I’m 47 and I sweat all the time and it’s just around my stomach and my back, my shirts stay soaked, it’s so embarrassing and I have never been one to sweat, I don’t know what to do for it.’….HELP

AnnA Rushton | 5:10 pm, June 11th, 2017

Monica we are not able to reply to such queries in detail so email for individual help with your symptoms.

Monica | 12:03 pm, June 11th, 2017

Hi. I am 35 years old. I had my right ovary removed about 3 years ago. I have always been a “cold ” person…freezing hands and feet, extra sweatshirts and blankets, extreme temperatures never bothered me and I never really profusely sweat unless I ran 5 miles in 80+ degree weather. My husband and boys have always complained that I keep it too hot in the house. Well…over the last 4-6 weeks it is like my body has completed a 180. I have had the air conditioning on since April (in Michigan) and STILL sweat like crazy. I know it’s very out of the ordinary because now my husband and boys are saying it’s freezing in the house and when in my car. I was at my mom’s earlier today (80 degrees and she didn’t have her air on) and was sweating like I just ran 25 miles in a sauna. Plus, at night I’m having a hard time sleeping due to my core feeling as if it’s 104.5 degrees. I don’t have a fever so I know it isn’t related to some type of infection. When I left my mom’s I was soaked. Sweat dripping off of my face, neck, LEGS and my hair was drenched. I know it wasn’t because she didn’t have the air on because both her and my husband agreed that it was warm in the house but neither of even broke a sweat. What is really out of the ordinary weird is when my legs sweat. They’re literally dripping off the back of my knees. I had a uterine ablation 2 1/2 years ago so what periods I have had since then have been light enough to where I only notice a small amount of “old blood” on a tissue after I urinate. Along with the extremely minute menstration, they’re also sporadic at best. Could i be starting menopause this early? I am not under an immense amount of stress or even moderately. Any help, advice or reassuring support would be greatly appreciated.
Thanks so much,

AnnA Rushton | 5:49 pm, May 31st, 2017

20-1, which is a combination cream with the majority ingredient of progesterone with two natural oestrogens added, is best for severe sweats Donna. This article will help:

Donna | 12:11 am, May 26th, 2017

So fed up with being soaking wet all day and note can u give me any information on what I can take coz I don’t want h.r.t

AnnA Rushton | 12:08 pm, May 9th, 2017

Glenda your ovaries will no longer be p producing any hormones after all this time and for severe sweats such as yours we suggest 20-1, which is a combination cream with the majority ingredient of progesterone with two natural oestrogens added. This article may be helpful too:

Glenda Fowler | 2:43 pm, May 8th, 2017

I’m 63 yr’s old. Had hysterectomy at 38yr’s old, still have my left ovary. I have hot flushes all the time, leaves my head wet. Also every night have night sweats, wake up gown wet, hair soaked. What can I do to help this, so in embarrassing. Please help. Thanks,

AnnA Rushton | 8:07 pm, May 7th, 2017

As the article mentions, there can be a number of reasons and stress is certainly one of them. Your age is certainly very young to be in early menopause but we suggest you do discuss this first with your doctor to eliminate any possible medical reason.

Amanda Dupre | 7:31 pm, May 3rd, 2017

I am a 24 year old female and I’ve been getting hot flashes for about a year now I’m just curious what could cause that? Do you think it could be going through early menopause?

AnnA Rushton | 6:47 pm, April 15th, 2017

Erin Women are subject to hormonal changes throughout their lives, as whether or not you have had a hysterectomy you are still producing hormones within your body, including oestrogen. This is implicated in hot flushes, as are increased stress levels or anxiety, both of which are common at menopause.

If the hot flushes are severe you would do better with a combined cream such as 20 to 1.

AnnA Rushton | 6:43 pm, April 15th, 2017

Unfortunately Susan you are not alone as we are hearing from an increasing number of women who are experiencing menopause symptoms well post menopause. A recent study has shown that a much higher proportion of ‘older’ women (average age 59 in this study) than was expected still suffer from hot flashes and night sweats, well after menopause is assumed to be over.

Post-menopause if oestrogen dominance is still present from being overweight or exposed to other forms of oestrogen through the diet or environmentally then that can increase flushes. Also other factors can be at work, particularly stress or anxiety as these definitely affect your overall hormone balance.’t-underestimate-the-effect-of-stress-on-your-hormonal-symptoms/

Erin McGarry | 10:49 am, April 13th, 2017

I had a hysterectomy 7 yrs ago, everything removed. I started having severe hot flashes 6 months ago. I’ve been off her for a couple yrs because of smoking. How after all this time am I going through this?

Susan | 5:08 am, April 12th, 2017

I have been getting super hot the past 5 or 6 months. I went through surgical menopause at age 30, I am now 66. These hot flashes can last 5 to 30 minutes. Can come and go often and then not have them for days.
Weatherwise,,we live on Lake Erie and have just come out of winter. I can be cold to hot and cold again in 5 minutes
Do you think this is normal?

flobry | 11:09 pm, April 3rd, 2017

I don’t agree.

AnnA Rushton | 9:34 am, March 19th, 2017

It could be a number of things and with such severity it does need to be checked by your doctor.

Dannie | 3:48 am, March 19th, 2017

I am 46.i have been having this needle-like burning feeling all over my will leave for about 5minutes,then it will come and stay for at least 15-1 hour..It have me feeling like I’m about to pass out.No sweating on the outside,just inside..Is this a sign of stress or MENAPAUSING​

AnnA Rushton | 8:43 pm, February 16th, 2017

When get hot flushes for a variety of reasons Lisa, not all of them hormonal. Stress and anxiety play a part and fluctuating hormones are responsible for flushes not just at menopause but also when pregnant and even post menopause.

Lisa | 11:20 am, February 16th, 2017

I have just done a menopause home test and it’s negative, so why am I having hot flushes?
I’m 43

AnnA Rushton | 5:55 pm, February 10th, 2017

Night sweats do respond better to a combination cream such as 20-1, which is a combination cream with the majority ingredient of progesterone with two natural oestrogens added, Nicole.

Nicole | 7:50 am, February 8th, 2017

Having night sweats post hysterectomy and would love to have the latest natural solutions that might help me cope.

AnnA Rushton | 4:36 pm, November 27th, 2016

Unfortunately each woman’s menopause is different, but the flushes are often seen post menopause as a result of stress and/or oestrogen dominance so you would find progesterone (Serenity) helpful in dealing with them. This article may also help:

Williams | 12:16 pm, November 25th, 2016

I am 70 age I have hot flashes after a hysterectomy for 40 years ago I have been taking hormone bills I had to stop taking them because I had stroke last year how long will these heat flashes go forward

AnnA Rushton | 12:59 pm, October 19th, 2016

This needs to be reported to your doctor for investigation.

nomvelo | 11:21 pm, October 18th, 2016

im felling hot running water in my brest and wkmb i dont know why i need help

Patricia white | 3:40 pm, September 15th, 2016

I’m 74 have bad sweats summer .winter night as well fed up with them also hot flushes when will they end please

AnnA Rushton | 10:37 am, September 4th, 2016

Marty she needs to see her doctor to have this checked, but yes caffeine is related to hot flushes and women of her age can still be affected by oestrogen dominance.

Marty | 7:49 am, September 4th, 2016

A couple years ago my mother-in-law had a benign tumor removed from her stomach -she’s 80+ years old having allot of hot flashes-could it be the tumor came back? She is stressed out about my daughter right now-She drinks 3-4 cups of coffee a day…Does Caffeine cause hot flashes?

AnnA Rushton | 5:29 pm, March 22nd, 2016

Stress does impact hormones so 20-1 which is a combination cream with the majority ingredient of progesterone, plus two natural oestrogens, could be helpful.

Farhin Khan | 8:30 am, March 20th, 2016

I’m 54 years old. My hysterectomy was done in 2009. I have hot flushes in my legs and more severe when I’m stressful. What should I do for this? Please suggest.

AnnA Rushton | 11:54 am, March 13th, 2016

Hot flushes occur because of surges in hormones and occur in pregnancy as well as menopause so it is not an age issue but one of hormone balance Veronica. You might find this article helpful:

Veronica Luna | 9:09 am, March 13th, 2016

I’m 29 and getting hotflash. What can I do? Am I to young for hotflash?

AnnA Rushton | 5:29 pm, February 9th, 2016

Sharon you are not alone as we are hearing from an increasing number of women who are experiencing menopause symptoms well post menopause. A recent study has shown that a much higher proportion of ‘older’ women (average age 59 in this study) than was expected still suffer from hot flashes and night sweats, well after menopause is assumed to be over.

Post-menopause if oestrogen dominance is still present from being overweight or exposed to other forms of oestrogen through the diet or environmentally then that can increase flushes. Also other factors can be at work, particularly stress or anxiety as these definitely affect your overall hormone balance. These articles may help.’t-underestimate-the-effect-of-stress-on-your-hormonal-symptoms/

AnnA Rushton | 5:28 pm, February 9th, 2016

Sharon unfortunately you are not alone as we are hearing from an increasing number of women who are experiencing menopause symptoms well post menopause. A recent study has shown that a much higher proportion of ‘older’ women (average age 59 in this study) than was expected still suffer from hot flashes and night sweats, well after menopause is assumed to be over.

Post-menopause if oestrogen dominance is still present from being overweight, or exposed to other forms of oestrogen through the diet or environmentally, then that can increase flushes. Also other factors can be at work, particularly stress or anxiety as these definitely affect your overall hormone balance so rebalancing with bioidentical natural progesterone can help.

Sharon | 4:11 pm, February 7th, 2016

I will be 72 this yr. But I’ve been having TERRIBLE HOT FLASHES for last 2 months. 20 to 30 a day. Got any suggestions. My hair and clothes get wet then I freeze when they go away. My face gets red like I’m sunburn. Have any suggestions? Please help!!!!

AnnA Rushton | 6:26 pm, January 19th, 2016

With flushes this severe Elizabeth you may find a combined cream such as 20-1 is more effective in getting them under control and this article may also be helpful:

Elizabeth | 1:10 pm, January 18th, 2016

Dr ruled out menopause but my severe hot flashes still here. Having 6 to 8 every hour. Please help me understand this and if/what I can do to make them bearable. Waking me up all night, stripping many times during day. It’s embarrassing.

AnnA Rushton | 5:16 pm, December 28th, 2015

We have not come across this Deborah so you need to speak to your doctor about it.

Deborah | 5:46 am, December 28th, 2015

Hello, I am 47 years old and in good health. I have no health issues at all and have not had any symptoms of menopause yet. I have regular, normal periods. The reason I am writing is that I have begun to experience what I can only call “hot flashes” but ONLY in my vagina. It is just a rush of warmth with no other symptoms, ie: sweats etc. There is no accompanying discharge. The warmth is not unpleasant. It is not an orgasm. But it is a mystery. Any ideas…?

AnnA Rushton | 6:31 pm, December 24th, 2015

Diane please check your application routine with the suggested one below – to get control of symptoms you do need to be rotating the sites for maximum absorption. If this is not helping then email for more assistance.

Diane Rookledge | 1:47 pm, December 22nd, 2015

I have been using 20-1 for some time as i bought in bulk. Idont know why as it has not made any difference to my symtoms. I have also just started the wellsprings menopause relief tablets but dont hold out much hope with them either.

AnnA Rushton | 12:03 pm, December 22nd, 2015

Sounds like perimenopause Julie and with that severity of flashes we suggest a combination cream such as 20-1 would be better as that contains both progesterone and a small amount of natural oestrogen. This article may be helpful:

Julie | 7:21 am, December 22nd, 2015

I am also 47 missed a peti I d last month but am suffering hot flashes..about 8_10 at least mostly at night but in the daytime too…my sex drive has been low for a while too.

AnnA Rushton | 3:13 pm, December 15th, 2015

Pamela please write to so they can give you specific help. Tell them your symptoms and what you have said here.

Pamela | 10:21 am, December 14th, 2015

I’m 47 and I didn’t have a period this month and I sweating only at night real bad. Hot and cold. Leaving my sheets soak. Please tell me something.

AnnA Rushton | 10:22 am, October 25th, 2015

Unfortunately Kathryn you are not alone as we are hearing from an increasing number of women who are experiencing menopause symptoms well post menopause. A recent study has shown that a much higher proportion of ‘older’ women (average age 59 in this study) than was expected still suffer from hot flashes and night sweats, well after menopause is assumed to be over.

Post-menopause if oestrogen dominance is still present from being overweight or exposed to other forms of oestrogen through the diet or environmentally then that can increase flushes. Also other factors can be at work, particularly stress or anxiety as these definitely affect your overall hormone balance. This article may be of interest:’t-underestimate-the-effect-of-stress-on-your-hormonal-symptoms/

Kathryn Bliven | 1:49 pm, October 24th, 2015

I had everything removed (except ovaries ) at age 29 went threw menopause age 38 and 53 now I’m 71 and have all the symptoms again including drowning at night. Why?

AnnA Rushton | 5:51 pm, October 14th, 2015

Fevers only last a few days to it sounds more like menopausal flushes. If you are on HRT and it is not helping then you will find this article by Dr Coope helpful:

AnnA Rushton | 5:46 pm, October 14th, 2015

Kirsten you have signs of oestrogen dominance so start with just progesterone to rebalance your hormones. Serenity used 24 days a month as long as your periods are irregular should help. This article may be helpful:

AnnA Rushton | 4:55 pm, October 4th, 2015

Yes Gena the surgery may well have put you into a premature menopause so we suggest you replace both hormones with 20-1. This article may be helpful

Gena | 10:43 am, October 3rd, 2015

I am 39 years old and just had a new baby in June and had laparoscopic surgery getting my tubes clipped 3 1/2 weeks ago!! Since then I’ve constantly been hot and freeze people to death with the air, along with a headache 90% of the time and I stay hungry!! Do you know what all this is??

AnnA Rushton | 9:09 am, October 1st, 2015

Please see your doctor about this Randi to find the exact cause as your symptoms may need investigating.

Randi | 7:35 pm, September 27th, 2015

I am 26 years old, for a little over a year I’ve randomly had hot flushes that were not severe and no night sweats but I instantly feel my upper body increase in tempature. The last two months I’ve noticed an increase for the hot flushes, I typically have them for about 15 minutes and have an hour or so between the flushes and I’ll do it for about 3 days in a row consistently and then again about a week and a half to two weeks later, except for at night I’m fine. Oddly I’ve noticed that the last couple of days and the last time I had the “episodes” I’ve had frequent bowel movements. Are these correlated at all?

AnnA Rushton | 12:14 pm, September 24th, 2015

With severe flushes Kirsten a bioidentical combination cream is usually more effective, such as 20-1, and unfortunately more younger women are experiencing perimenopause at a much younger age than previously. This article may be helpful to give you some more help:

zaundra | 6:04 am, September 24th, 2015

I have had a complete hysterectomy and I’m 45yrs old i had the surgery about 2yrs ago and have been taking harmone replacements but i can’t stop sweating i feel as if im going crazy and im sweating completely all over are they hot flashes or am i having fever

Kirsten Clements | 1:52 pm, September 23rd, 2015

Hi, I am 44 years old and believe that I may be perimenopausal. About 2 years ago I was having heavy periods so went to see my GP who after examing me thought I had a polyp and referred me to a Gyno. The lady I saw confirmed that it wasn’t a polyp by scar tissue from stitches I had after having my daughter (2 years previously). My periods seemed to settle down again but about a year ago I missed a couple, panicking me, thinking I was pregnany, I did a test, however it proved negative. Then the hot flushes started!! Oh boy! They were awful! I went back to my GP who did some tests and said that the results showed my FSH level to by 71% suggesting that I am perimenopausal. This was a complete shock to me as I was 42 nearly 43, and thought this was far too early, plus we hadn’t totally outruled more children (being an older mum anyway!) However, I lost some weight and everything seemed to go back to normal. My own mother told me she was late 40’s when she started showing signs of the menopause. I then lost some weight and my periods went back to normal and the hot flushes stopped. So I carried on as normal. About 2 months ago my periods stopped again and now the hot flushes are back with a vengeance, to the point I am dripping with sweat. I also have the added problem of constantly watering eyes (which I have been to the Dr’s and opticians about!). I have mood swings and feel really miserable some of the time, I have also put more weight on again and just generally feel really low and fed up! I don’t want to go on HRT as you hear so many bad things, i.e. cancer, etc. Any help would be much appreciated

AnnA Rushton | 6:23 am, September 18th, 2015

Dena unfortunately you are not alone as a recent study has shown that a much higher proportion of ‘older’ women (average age 59 in this study) than was expected still suffer from hot flashes and night sweats, well after menopause is assumed to be over.

Post-menopause other factors can be at work, and stress or anxiety and emotional issues are all factors that can affect hormones so it is not related to your bladder issues.

Dena keezer | 1:45 am, September 18th, 2015

I am 80 years old and having hot flashes during the day I sleep all night without a pproblem I still have all my body

had three babies but am burning up now. I take medication for bladder leaks could that be a problem?

AnnA Rushton | 11:06 am, September 16th, 2015

Unfortunately there is no accurate way of knowing how long it can take to restore hormone balance after a coil or HRT use Veronica but certainly your healthy lifestyle le should be helping. If the depression is an issue you may find a combination cream like 20-1 to be helpful. This article may be of interest:

veronica brand | 1:47 pm, September 15th, 2015

I had aMiirena coil for 12 years due to 2 week long, ridiculously heavy periods. I had it removed 9 months ago due to gaining 3 stone even though i eat healthy and exercise a lot. I am losing the weight (1 stone gone another 2 to go) but the hot flushes and depression are overwhelming. just wondering how long the body takes to rebalance the hormones after 12 years of the Mirena coil ? I am 52, I exercise 6 times per week and eat healthy and non smoker and non drinker.

AnnA Rushton | 9:18 am, September 13th, 2015

Marianna we are not doctors so not able to advise you except that you may find progesterone helpful of the flushes and bloating, but pain in your ovary should be investigated by your doctor.

Mariana Kaegebein | 4:39 am, September 13th, 2015

I’m 75. These are my symptoms: constipation followed by diarrhea. Bloated stomach. Not very hungry most of the time. In this past month, I have hot flashes. They come everyday now. Pain in my right ovary and hot flashes and my temperature goes to 100 degrees. I have terrible fatigue. My body temp is usually 97 degrees. Thank you for,reading this. I hope you have some info about what might be going on

AnnA Rushton | 10:40 am, September 7th, 2015

There are many reasons for missed periods Lorena including stress, pregnancy and hormone imbalance so we suggest you first speak to your doctor to establish the exact cause as 27 is young to be in perimenopause.

lorena | 12:04 am, September 7th, 2015

Hi I’m 27 and I haven’t had my period in over 2 months and I’m beginning to have hotflashes. Am I in the beginning stages of premature menopause?

AnnA Rushton | 11:54 am, September 2nd, 2015

Hot flashes can be helped by progesterone as can a low sex drive, but libido is dependent on many factors both physical and emotional Heather. This article may help:

Heather | 2:16 am, September 2nd, 2015

I am 36 yrs old and a mother of 2 beautiful daughters. I started experiencing these horrible hot flashes at the age of 33. I don’t have any mood swings at all but i have a low sex drive. I have been married for 13 yrs an I love my husband to death but I just never feel up to making love to him. I told him its me not him. I hate feeling like this. What should i do?

AnnA Rushton | 5:51 pm, September 1st, 2015

Elizabeth you are on a continuous form of combined HRT so this needs to be withdrawn slowly to avoid side effects. Please see Dr Coope’s article for further advice.

Elizabeth Duffy | 8:53 pm, August 28th, 2015

Hi I am 54 and have been going through the menapause for about 10 years I have severe hot flashes and embarrassing day and night sweats.I have been prescribed kliovance hrt tablets for the past 2 years.I am tired of pestering my gp I have also used some health store remedies all to no avail!!what can I do this has caused my marriage to end and I’m actually suicidal. My life is just a misery.PLEASE HELP!!!

AnnA Rushton | 12:17 pm, August 25th, 2015

As you have already contacted Dr Coope for an appointment to discuss your symptoms Audrey we can’t comment here.

Audrey Heaton | 3:52 pm, August 23rd, 2015

I am 74 years old and at the end of my tether with hot flushes and sweats i have also an under active Thyroid. I never sweat under arms. My face is scarlet and simply melts. my body is constantly boiling I wake with my pillow wet and my hair dripping. I don’t want to go out where there are people for fear it will happen and there is no escape. I also have Fybro- My -Algia
I have read with interest your problems and answers and am E-mailing Dr Tony Coope in the hope that he can advise me.
Please do not display my surname.
Thank You.

AnnA Rushton | 12:36 pm, August 23rd, 2015

Luisa stress is a major factor in hot flushes so the following article may help but if they are persisting it is worth checking with your doctor to eliminate any other causes. 20-1 is available from Wellsprings at’t-underestimate-the-effect-of-stress-on-your-hormonal-symptoms/

AnnA Rushton | 12:33 pm, August 23rd, 2015

Sara at your age this needs to be investigated by your doctor first.

saz | 11:04 pm, August 22nd, 2015

Hi I’m a 25 female and I’m suffering with really bad sweats every couple of hour’s. to the point I have every window and door open. I hate going out as i get really uncomfortable and my clothes stick to me. It starts like on my face then my whole body. I just don’t understand it. You would think I’ve been running for hour’s it’s that bad

Luisa | 1:24 am, August 21st, 2015

Hi- great article. I get hot flushes all the time. Im 30 and I don’t think it’s menopause. I’m going through a very difficult time in my life. I work full time and have a 2 year. I get very embarrassed everytime this happens and it happens very frequently. Where can I buy the 20-1? Will this help me? Any other recommendations?

AnnA Rushton | 11:36 am, August 4th, 2015

Penny after a hysterectomy your ovaries no longer function as they did so supplementing both hormones is helpful for extreme flushes and to help with your symptoms. You would be better with a combination cream such as 20-1 and this article by US bioidentical expert Dr Jeffrey Dach may be helpful:

Penny Garrison | 3:49 pm, August 3rd, 2015

I am 43, had a hysterctomy in 2004, I only have my right ovary , I did suffer from Hot flashes for a year , no meds after surgery either didnt need them, but now my chest and breast turn utterly red blotchy hot and it has caused me to not even want food…. I keep loosing weight. It causes me to get so dizzy!! I thought having one ovary would keep me from having these hot flashes but. Nope… I did take Black Kosh pill form and it did calm them alot …. And the went away. Its been a year and my hot flashes are. Worse…. What can i do?? I do not have insurance or medicaid… I need some relief i cant sleep at anytime ease help me!!!

AnnA Rushton | 1:00 pm, June 27th, 2015

Victoria you can safely use progesterone (Serenity) vaginally to help with the dryness, even with cancer in the family as progesterone is protective – see the article below:

VICTORIA SIMONE | 6:24 am, June 27th, 2015

I am 66 years old, my main problem is severe dryness. It is very unconfortable and painful, Also suffer from insomnia.
Going to order the Rescue Remedy and get in to see the Doctor for the Saliva test. I have never been on hormones of any type. There is so much cancer in my maternal side of the family, it keeps me up at night. Thank you for all the amazing information you offer us, is greatly

AnnA Rushton | 7:50 pm, June 25th, 2015

Tish we are very sorry but you need to speak to your doctor about this as implants can have a number of side effects due to the synthetic hormones they contain. Unfortunately you cannot combine bioidentical hormones with such implants as they will reduce the contraceptive effect of the implant.

AnnA Rushton | 7:48 pm, June 25th, 2015

Trish we are sorry but this is something you need to discuss with your doctor as implants can have a number of side effects and you cannot combine them with bioidentical hormones as they upset the contraceptive ability of the implant.

Tish | 5:44 pm, June 25th, 2015

im 18 years old an getting hot flushes to the point where my partner can see the sweat on my face, I have irregular periods before I went on implant and are still having them Ive looked this up and it said something about POI? Can you help me ?

Maria | 11:12 am, June 16th, 2015

I’m 47 and had a full hysterectomy 9 years ago. I am also on HRT. My mood swings a week before I finish my tablets are unbearable, I can’t stop crying along with the hot flushes, dizziness and insecurity I feel, I am and always was a very strong individual. But at the moment I’m at my wits end. Can I do?

karen | 10:32 pm, June 14th, 2015

i have been post for 3 yrs. now. several symptoms headache , backache,tension stiffness off balance , vision trouble, going crazy. cant take hormones or meds. as they make me worse hard to believe . was in hosp. for saying they should shoot me put me out of misery . its so unreal. yes. death is questioned for sure . comes an goes very intense . we r all not crazy just hormones from hell an drs. cant seem to help scary…. i suffer everyday for 15 yrs. some days so bad. wish i were dead .i understand u women out here just nothin has helped me nothin an now scared to try stuff as most things make me worse. its awful an not understood well . feel for all u out here on this site i am 58 an went to the e.r. again today they just cant help if u were as bad a i an found something write me please

AnnA Rushton | 12:08 pm, June 2nd, 2015

Toi you would benefit from a combined cream such as 20-1 with the severity of your flushes and to help rebalance your hormones and regain your libido.

Toi | 7:30 am, June 2nd, 2015

Hi i am Toi im 33 never had any type of surgery i have heat flashes day and night to the point i come out of my clothes no matter where i am. My cycle stopped about. 6 months ago. I’m moody and definitely not iniating sex. I am at a point i dont know what to do any advise would be grateful. I did read the other comments but mines different due to my lack of no surgeries. No little babies. However i have had 2 abortions in the last 12 years but nothing within the last 8 years. My youngest child is 14help me please

monica | 10:35 pm, May 30th, 2015

Hi I am 28 years old and I have been having extreme hot flashes the past several weeks. It has gotten so bad that my husband wakes up sweating because my body is so hot. Not sure.what could be causing this but any advance would be greatly appreciated.

AnnA Rushton | 7:54 am, May 30th, 2015

Laura your symptoms can be helped with a bioidentical combination cream and women are normally offered this or HRT after a hysterectomy as it puts you immediately into a surgical menopause. Your doctor may be able to help with this and this article by Dr Jeffrey Dach in the USA will make more sense of it:

AnnA Rushton | 11:20 am, May 21st, 2015

You would benefit Sarah from rebalancing your hormones and so a combination cream such as 20-1 with both progesterone and oestrogen would help with your symptoms. Your operation can have the effect of bringing on menopausal symptoms, which is what is occurring with you.

Sarah | 4:09 pm, May 20th, 2015

I am 28. About a yr and half ago I had both fallopian tubes removed due to infection. I am now experiencing terrible hot flashes only at night. I wake up bc I am so hot and will be soaked with sweat. As soon as I wake I immediately get freazing. This happens a cpl times a night. I am also experiencing mood swings. My Dr. Tells me there’s nothing wrong, but I know there is!? Should I be taking some kind of supplement now after tube removal? Anything else I can do to help, or possibly have checked??

maria imtiaz | 1:29 pm, May 18th, 2015

I have learnt lot of information

AnnA Rushton | 10:25 am, May 10th, 2015

Georgia you can safely use SErenity as progesterone is protective against the excess oestrogen linked to such cancers. Many women use it who have a history of family cancer and/or treatment such as chemotherapy or Tamoxifen and similar drug use. This article may be helpful:  

Georgia Denham | 1:10 am, May 10th, 2015

I am 72 hrs old. Went off HRT after 15 yrs , due to cancer. One year ,after, feel terrible. Hot flushes, dizzy, no sleep, I am active , and healthy. My cancer was estrogen positive. What would you advise for me please ?

Dee | 3:19 am, April 22nd, 2015

57 years old and had a partial hyst. a little over a year ago. I never had hot flashes until 6 months ago and some days have none while others they are awful! I have been on synthroid for a partial thryroidectomy about 10 yrs. ago. My T3 and TSH levels are really good. I also am being treated for High BP going on about 8 years…that has also been excellent. The hyst was for fibroids…8 of them and pretty large that came on about 10 yrs. ago after an ablation for heavy periods. I have had 3 to term pregnancies. Also diagnosed with PTSD / GAD…I’m a mess!

AnnA Rushton | 7:42 pm, April 19th, 2015

With those symptoms Ally you need progesterone and so Serenity would be best.

AnnA Rushton | 7:41 pm, April 19th, 2015

Yes Nettie you do sound to have been oestrogen dominant for some time as heavy bleeding and weight gain and bloating are related to that. Also other factors can be at work, particularly stress or anxiety as these definitely affect your overall hormone balance. Unfortunately at menopause the body shifts production from the ovaries into the fat cells of the stomach and if this is not opposed by progesterone you can get fat deposits and an increase in flushes.  

This article on bloating may be helpful:

AnnA Rushton | 7:36 pm, April 19th, 2015

`You have signs of oestrogen dominance Jackie and unfortunately you are not alone as we are hearing from an increasing number of women who are experiencing menopause symptoms well post menopause. A recent study has shown that a much higher proportion of ‘older’ women (average age 59 in this study) than was expected still suffer from hot flashes and night sweats, well after menopause is assumed to be over.

Post-menopause if oestrogen dominance is still present from being overweight or exposed to other forms of oestrogen through the diet or environmentally then that can increase flushes. Also other factors can be at work, particularly stress or anxiety as these definitely affect your overall hormone balance.

jackie edmunds | 4:42 pm, April 19th, 2015

I am 63 years okd and not had a period since i wad 50 but every month i still have symptoms e.g tender breasts. Mood swings, a craving fir sweet things. Shouldnt i be past this now.

Nettie | 11:56 am, April 19th, 2015

I am 57…after an awful menapause of Xtreme heavy menses,cysts, cystic breasts, and drenching hotflashes…I thought I was “done”@53. I began hot flashes @2:00-3:00am this year interrupting my 5-6 hrs sleep. Ugh !i am on Armor-all for hyperthyroid…but I feel like I need MORE…I a phage NO metabolism.
I work,exercise & burn 3,000 cals/day, eating organic/healthy/low carb. I have gained 20lbs that I can’t take off. I was a flat stomached girl w big legs, now an apple -shape with a bloated abdomen( a 6 pack is underneath somewhere!;-) )
My dr. Is sending me to an endocrinologist. .??. I have been afraid of hrt due to estrogen supporting cancer….but it sounds like I have too much estrogen?

Ally | 11:01 pm, April 18th, 2015

I have had a hysterectomy but ovaries still in place I am in my fifties and have just started to have hot flushes mainly at night also anxiety, sleepless nights and vaginal atrophy and occasional breast tenderness… which cream would be best for me please

AnnA Rushton | 7:24 pm, April 9th, 2015

You can safely use progesterone cream (Serenity) to help with the flushes Christal and this article may also put your mind at rest:  

Christmas Clark | 3:55 pm, April 8th, 2015

Sorry my name is Christal

Christmas Clark | 3:54 pm, April 8th, 2015

i was 38 pregnant had baby 11/13 6 months later I found out I had breast cancer in May 14 had chemo double mastectomy radiation and complete total hysterectomy and my breast cancer was hormone based . I am having sever hot flashes. I am setting here on couch right now with my little girl and my whole body hair and all is soaked. I am so hot.i don’t know what to do or how to cope with these any suggestions.

AnnA Rushton | 5:46 pm, March 30th, 2015

Progesterone helps with hot flushes and increases sex drive in women, but libido is tricky to get right as it involves both physical and emotional aspects. You do need to speak to your doctor to check whether there is anything relating to they hysterectomy that may be causing problems.

AnnA Rushton | 5:44 pm, March 30th, 2015

Hot flushes post menopause are not uncommon Gianna but you need to speak to your doctor or an osteopath about the pain in your foot as that is not a general menopause symptom.

AnnA Rushton | 5:10 pm, March 30th, 2015

Progesterone does help increase sex drive in women, and can reduce hot flushes, but libido is a tricky one to get right as there are so many factors involved. We sugget you do need to see your doctor to check if after the hysterectomy there is any physical cause that needs addressing.

Gianna | 11:03 pm, March 29th, 2015

I have finished my periods for over a year now still Having hot flushes I also am getting hot feet at night sometimes I feel like some one is stabbing me with a hot poker in arch of my foot is that normal

raechelle | 4:29 pm, March 29th, 2015

I am 37yrs old. I had a partial hysterectomy 2yrs ago. Within the last 4-5 months I have been experiencing hot flashes day and night. I have completely NO interest in sex. I don’t even like being touched. Being that I’ve been married going on 12yrs, the lack of sex drive has become a VERY BIG PROBLEM!!! I do plan on going to the Dr soon but is there any info u can give me until then????

raechelle | 4:27 pm, March 29th, 2015

I ment to say, I have completely NO INTEREST n sex.

raechelle | 4:26 pm, March 29th, 2015

I am 37yrs old. I had a partial hysterectomy 2yrs ago. Within the last 4-5 months I have been experiencing hot flashes day and night. I have completely all interest in sex. I don’t even like being touched. Being that I’ve been married going on 12yrs, the lack of sex drive has become a VERY BIG PROBLEM!!! I do plan on going to the Dr soon but is there any info u can give me until then????

AnnA Rushton | 11:08 am, March 8th, 2015

You need to speak further with your doctor about this, but certainly stress will affect your hormones and affect the severity and frequency of your flushes. This article may help:’t-underestimate-the-effect-of-stress-on-your-hormonal-symptoms/

Andrea | 6:31 pm, March 5th, 2015

I am 42 and have been dealing with hot flashes on and off and hormone imbalance for a little over a year while going through a divorce. First hot flashes were severe day and night. Estrogen was 15 and fsh was 93. Missed my period for about 2 months. Hormones went back to normal, hot flashes stopped and period returned for a few months. Then in Nov hot flashes returned but only in the morning when I first wake up and then I’m fine the rest of the day. Haven’t had a period since Nov though. Still dealing with a lot of stress, losing weight and I also have crohns. It’s this fmy chronic condition causing this or menopause?

AnnA Rushton | 4:07 pm, March 3rd, 2015

You can be hormonally imbalanced due to menopause Sara as occurs after a hysterectomy but it is not static so symptoms can suddenly appear years later. Rebalancing with a combination cream such as 20-1 will help more with your specific symptoms. See this article by Dr Jeffrey Dach:

Sara Louise Hodgson | 5:35 pm, March 1st, 2015

Hi I had a hysterectomy 20 years ago and I’m now in my 50’s. I get spots anxiety attacks and depression. Can I still be getting hormonal imbalance from the hysterectomy?

AnnA Rushton | 1:14 am, February 18th, 2015

Please speak to your doctor again as they can help you with excess sweating, if it is not hormonal – and you are very young for it to be menopause – then supplementing with bioidentical hormones may not be the answer but it may be worth trying progesterone, Serenity, to see if that does help but do please speak to your doctor again and ask to be referred for a consultation.

AnnA Rushton | 1:11 am, February 18th, 2015

Amy you need a combination cream such as 20-1,or Serenity with some additional oestrogen from your doctor. There are GP’s prescribing Serenity on the NHS but it is at the discretion of your practice so do discuss this with your doctor as you should no be having such continuing severe symptoms.

missms86 | 10:20 pm, February 17th, 2015

I’m 28 and for two years now I’ve been going through excessive sweating along with night sweats, I’m not on any type of medication. I had my thyroid tested and it came back clear, I asked for them to see if it might be menopause but they told me I’m too young. It’s horrible I can’t sweep or vacuum or even put shoes on without sweating profusely, do you have any suggestions? I’m just lost and feel alone with this because of my age.

Amy lynn | 2:18 am, February 16th, 2015

I am 33. And had a total hysterectomy. No ovaries, cervix, uterus or tubes. I can’t afford the hormones and would love some opinions on what to do. I have unbelievable hot flashes, I’m crying all the time and being a single mother of 2, you know that this cannot continue. I don’t want my girls seeing me like this. I’m depressed and feel very lost. Any advice would be helpful. Please.

AnnA Rushton | 3:12 pm, November 3rd, 2014

Cindy we cannot reply to your question here, please send your information to and they will do their best to help you.

Cindy Wilson | 2:54 pm, November 2nd, 2014

I am 48 and had a hysterectomy leaving my ovaries and I am at 4 weeks po. Before having the procedure I had taken birth control for 25 years. I had severe migraines for most of those years during my periods along with other issues. I started having hot flashes and night sweats during the week of my period when I wasn’t taking my pill during the past year. Once I started taking my pill again that would go away. Now that I have had my hysterectomy and not taking the pill anymore I am having hot flashes and night sweats everyday. I am not scheduled to go back to my Doctor for 3 weeks for follow up to talk to her about this. I am trying to give it time to evaluate everything since my surgery to make sure what all of my symptoms are since surgery. I am taking an herbal supplement called flash ease but it is not helping so far. What will my options be and why is this happening since I still have my ovaries.

AnnA Rushton | 10:39 am, July 12th, 2014

From her symptoms Sofia she is low in progesterone so supplementing would help as she is probably producing sufficient oestrogen in her fat cells, which is what the body does after a hysterectomy or menopause itself.

sofia | 4:55 pm, July 11th, 2014

My mom is now 44 and is suffering from hot flashes, she is wondering why she is feeling this since she had a hysterectomy at the age of 20. Is it possible for her to have menopause? She was curious as to why she was having hot flashes, mood swings, and no sex drive.

AnnA Rushton | 12:59 pm, July 1st, 2014

You certainly have symptoms of perimenopuase jennifer and your hormonal pattern is changing. You can restore balance by supplementing with progesterone if your symptoms warrant it. This article may also be helpful:

Jennifer | 8:40 am, June 28th, 2014

I am 54 years. Very good health. 3 years ago I had a large fibroid removed and and a hysterectomy. I still have one overy and it was still producing levels of hormones. About 4 weeks ago I started to get these feelings of overheating at random times. During the night I get very hot and kick the sheets off ( it’s winter here) and I leave the door open. After awhile I put the blanket back on. I do this 4 or 5 times during the night. I used to sleep up disturbed all night. Also my breasts used to swell up before my period, this has stopped altogether. Is this menopause?

AnnA Rushton | 9:33 am, June 27th, 2014

Drema these sensations are not usual for hot flushes and we recommend you see your doctor to investigate the cause.

Drema | 9:15 am, June 22nd, 2014

I am 48. I still have my menstural periods,I have not had any kind of surgery. In the day time as well as night time I will get a werid feeling that always starts in my legs and moves quickly all the way up to my face. It feels like hot flushes but I am not sure becouse it always starts in my legs. Do you have any advice Please?

AnnA Rushton | 11:13 am, May 30th, 2014

Vivian: the fibroid is related to your difficulty in conceiving, but is not the direct cause, being a sign that you may well be low in progesterone, which is very important in fertility, maintenance of a pregnancy, and prevention of both miscarriage and premature labour; (this depletion allows the hormone estrogen to encourage the fibroid’s growth). Although the vaginal dryness and flashes suggest a deficiency in estrogen also, for this particular picture to emerge, the progesterone is usually relatively more depleted than the estrogen.
Progesterone may stop or even reverse the growth of your thyroid, but before you start using hormones, it is really important to know where you are starting from, – what the balance of your hormones is right now. This can be achieved through a saliva test, for more information email

vivian | 12:12 am, May 28th, 2014

Am a 29 years old woman, I ve been finding it hard trying to concieve because of submucosal uterine fibroid of about 6cm, I recently started having hot flash around my vagina, then the inside is always dry don’t even think I ovulate regularly cos I don’t see any sign of ovulation. What’s happening? And can I use supplement to shrink the fibroid instead of surgery

AnnA Rushton | 9:22 am, May 19th, 2014

As the maximum time now recommended to be on HRT is 5 years, Denise then certainly no woman has to be on it long term and usually only until symptoms are dealt with. You could consider switching to a combined bioidentical HRT such as 20-1 and advice on how to do that is in this article by Dr Tony Coope:

Denise | 11:15 pm, May 18th, 2014

i had a full hysterectomy when i was26 yrs old due to severe endometriosis. I am now 57 yrs old & have been taking Premarin for 27 yrs. I want to stop taking this drug. Does a woman with my history have to take hrt for the rest of her life.

Dr Tony Coope | 11:23 am, April 18th, 2014

Dianne: it is very likely that declining hormone levels are behind the appearance of your hot flashes, and could indeed be making worse your symptoms of depression.
So the idea of HRT is a logical one. However, I think you need to be very careful to take the right option here; oestrogen is likely to be necessary to resolve the flashes, but your previous history suggests that you have been progesterone depleted and therefore your progesterone /estrogen ratio has been out of balance. The synthetic progestin (progesterone substitute) in standard HRT has a tendency to worsen the severity of depressive symptoms, whereas the bioidentical form of progesterone eg as found in Serenity has the opposite, beneficial, effect. The best options for you would be progesterone in a cream, an progesterone/oestrogen combined cream, or if necessary, progesterone plus oestrogen in a gel or patch so that you have full control of the right dosages for you. To be sure of which dosages you need it would be essential to start with a hormone saliva test to establish your current progesterone and oestrogen levels.

Dianne | 12:40 am, April 18th, 2014

I am 48 and hot flashes started last month. I would rather go thru labor than this every single day! I had a uterine oblation about 7 yrs. ago and do have my ovaries. Have had no periods since then but lots of cramping every month where I didn’t the first 7 yrs of my surgery. I have been depressed since 10 yrs old and seems to be getting worse. Did find out I am Bipolar II and am on Lamictal 150mg and going higher end of month but doc thinks HRT would benefit me and make me not need as much Lamictal. I cry every other day and cannot stop. But I don’t think I can do this hot flash every single night for the next 5-10 yrs. Any suggestions? I am taking over the counter menopause stuff and ground flax seeds in my yogurt but nothing seems to help. Other vitamins too.

gail | 11:29 am, February 10th, 2014

how long do I need to be on progesterone cream for

AnnA Rushton | 10:55 am, January 21st, 2014

Hot flashes are related to more than just hormone imbalance Mary and sadly women post menopause can still have them. Stress if a major factor as well but certainly Serenity can help with your symptoms and progesterone is recommended in these circumstances.

Mary | 4:35 pm, January 20th, 2014

I will be 72 years of age this August, I had my uterus removed due to a prolapse. I am still getting Hotflases I can handle them during the day, they are worse at night when I get one I cannot go back to sleep. I cannot use Estrogen as I had a scare so it is all cold turkey any suggestions. I still have a prolapse this time, they will remove the ovaries when they do the surgery, will this stop the Hotflashes or am I doomed to have them for the rest of my life.

AnnA Rushton | 8:54 am, November 12th, 2013

Dosage will vary `madie depending on why you are using it and your history so we do not specify quantity but guidelines are given in an online booklet when ordering creams. Sleep is certainly affected at perimenopause and you may find the following article helpful;

gail mcdonald | 2:53 pm, October 14th, 2013

I got you cream for hot flushes and tried it after the first month their was no change but I decided because the jar last 3months to carry on with it as the hot flushes was getting me down after the second month of using the cream I found my hot flushes completely gone amazing thank you

Madie | 12:50 pm, October 14th, 2013

I am 65 and years ago I was on a oestrogen and progestogen pill but it caused breakthrough bleeding in my veins and the Dr took me off. I started using a natural yam cream and it helped, but I quit taking it and I can’t remember why now (could it be age, lol). I have not taken anything for years. I have recently started having trouble sleeping because of mild flushes in the middle of the night. My problem is once I wake up, I am up. I would like to take something natural if possible. I have a high risk of cancer (both mom and dad) and heart problems (mom and her father and on both sides of the family). I am 5’5″ and weigh 150 lbs. My Dr thought I had cancer in both breasts this year and wouldn’t let me leave until she scheduled me for tests, because of my history. I only had fibrous lumps. I have had Vnus surgery on the inside of both legs. I had my 5th child at 38 years old (but also had three miscarriages) and went into menopause around 40. The only medication I am taking is 20 mg Lisinopril for high blood pressure. I am active, (but don’t exercise regularly). I don’t suffer from depression and my libido is fine. If you recommend some thing natural, please add the dosage, it can be confusing how much to take and I don’t want to overtake. I take melatonin at night but cut it down to one half a pill because I read some negatives. To re-read this it sounds like my history has me falling apart, but I am really quite healthy. Thank-you.

AnnA Rushton | 10:54 am, September 24th, 2013

Andrea your symptoms relate to excess oestrogen and we suggest that you need rebalancing with progesterone. Serenity can help and is not contraindicated by your medications, in fact it assists with mood and blood pressure.

Andrea Jones | 8:24 am, September 22nd, 2013

SHad total hysterectomy at age 27 yrs because of extreme scar tissue on fallopian tubes. Have been on a lot of different estrogens. Anyway, am now 59 yrs & my dr maybe 6mths ago put me on Estradiol 1mg. Since then i have been having drenching hot flashes & night sweats. I curl my hair & before i can style it my hair is soaken wet again & dripping down my neck. About 6 yrs ago i started having very bad panic attacks that put me in the ER twice. I am now taking Venlafaxine ER 150mg for that & depression. I also have high blood pressure, but have it controlled w medication. I have gained so much weight that i cant lose. I dont feel like exercising because i am soaken wet right out of a shower. I am miserable & moody because of it. I am also taking black cohash 200mg which is not helping. Can you help me for i am desperate & very frustrated! Thank you!

Susan Harrison | 5:09 am, August 28th, 2013

I am 45 and I had a complete hysterectomy at the age of 21. I had extremely large ovarian cysts, that eventualy made there way into the fallopian tubes and an infection that went undetected and un treated, I was on premerin after surgery, after 6 months my body quit absorbing it, from there I was put on patches and gained a considerable amount of weight relatively quickly; so we tried injections which were extremely painful. After years of not using anything I trie bio-identicals and once again gained weight, stopped using them and I haven’t had hot flashes for 10 years. I recently started working out and changed my diet and unfortunately my hot flashes and night sweats have returned with a vengeance !! I will appreciate any help you can offer.

Susan H.

AnnA Rushton | 4:41 pm, May 19th, 2013

Hot flushes are sadly not uncommon after menopause, and can be helped by progesterone but your other symptoms do need to be investigated by your doctor Gayle. There can be several reasons for the symptoms you have but please do speak to your doctor about them.

Gayle Read | 4:34 pm, May 19th, 2013

I am 71 and have hot flashes pain in back of legs cannot sleep .Also when i dose and then come to i have a strange feeling in middle of chest and my eyes seem to show the room in bright colours till i blink.This is very scary can you help me.

AnnA Rushton | 3:12 pm, May 10th, 2013

Sadly age is no protection against hormonal symptoms and women post menopause can still find themselves affected by hot flushes etc. It is not always the hormones that are directly responsible but acting in response to stress which affects most of our body’s functions.

Judy Donaldson | 1:42 pm, May 10th, 2013

Iam age64 and am having my uterus removed because of prolapse, I have been advise by my doctor to also have my ovaries removed to lower my cancer risk, because of the breast cancer I had in 2002 and I am high risk for colon cancer. At my age would I still have probems with hot flashes, mood swings, depression etc?

AnnA Rushton | 10:49 am, April 27th, 2013

None we know of Pamela, but Dr Tony Coope is an experienced practitioner with bioidentical hormones and he offers telephone and email consultations. You can see more about him here: oope/

Pamela may Dillon | 8:34 pm, April 26th, 2013

hi I live in plymouth Devon uk and have been trying to find a bioidentical hormone Doctor for a while now but to no avail, I don’t know if you could help me find out if there are any in my area, would be grateful if you could help. Regards p dillon

dr coope | 3:14 pm, April 21st, 2013

Flora – Livial’s actions are similar to oestrogen and therefore can increase symptoms of oestrogen dominance as also does black cohosh. You need to consider supplementing with bioidentical natural progesterone to balance this and help with your symptoms and stress is also a major factor in increasing hormonal symptoms. These articles may be helpful:’t-underestimate-the-effect-of-stress-on-your-hormonal-symptoms/

Flora | 10:24 am, April 21st, 2013

Hi Dr.Coope,

I have been menopausal since 45 years and have been on HRT since then. I am now 57. I used to take one that caused you to bleed just like your periods but now for the last 4 years I am on livial and at night I top up with remmifemin ( black cohosh). However I can only sleep for about 5 hours before I get up due a feeling like an electric current passing through my body. My work is very stressful and may be adding to the problem. Any suggestions?

Thank you.

dr coope | 10:54 am, March 17th, 2013

Post birth many women’s hormones do go into free fall Jennifer as the progesterone levels drop dramatically. As you have had a history of hormonal difficulty it could be a period of adjustment and stress also plays a major part in hot flushes. This article may be helpful:’t-underestimate-the-effect-of-stress-on-your-hormonal-symptoms/

Jennifer | 4:03 am, March 17th, 2013

I will be 42yrs old in Dec. Ive had a horrible time with my periods from the age of 16yr until 36yr…my “monthly” became yearly.
2011 we got preg and i had her Nov and then had another son Oct2012 so he is now just a few days from being 5months old. I am having hot flashes like crazy…all day everyday. Is this just PP hormones??

AnnA Rushton | 10:34 am, March 5th, 2013

Teresa what you are describing is the result of the acute drop in progesterone after giving birth and as progesterone is a mood enhancer this can lead to ‘baby blues’ and supplementing with SErenity will help, as will this article by Dr Tony Coope:

AnnA Rushton | 10:22 am, March 5th, 2013

Kathleen – our apologies for the delay in replying to you as we have had problems with comments being forwarded from our website. Yes it is entirely safe as progesterone is protective against breast cancer and many women do use it after surgery and chemotherapy.

AnnA Rushton | 10:21 am, March 5th, 2013

Teresa – our apologies for the delay in replying to you as we have had problems with comments being forwarded from our website. What you are describing sounds like the effect of the sudden drop in progesterone after giving birth. As progesterone is a mood enhancer this can often result in ‘the baby blues’ in many women and supplementing with Serenity will help, as will this article by Dr Tony Cooope:

AnnA Rushton | 9:41 am, February 23rd, 2013

Progesterone is protective against breast cancer and safe to use for women who have had it or are undergoing chemotherapy and radiation. This article by Dr David Zava will give you more information:

AnnA Rushton | 12:48 pm, February 22nd, 2013

Our apologies for the delay in replying Teresa but your post wasn’t notified to us. What you are experiencing is a surgical menopause and it will need help to rebalance your hormones. We suggest as you are so young that you need 20-1 with its progesterone and oestrogen content to get these symptoms under control.

TERERSA | 6:28 pm, January 30th, 2013

I am 24 yr,s old and just had my second child about 6months ago; as well as, a month later having my tubes tied.I know that I am young; however, this is seriously aggravating. I am always having hot flashes and my boby will start sweating profusely all over for no apparent reason. I now also have mood swings. I will be perfectly content one moment and then a few minutes later bawling my eyes out or mad at the world. What should I try first? can this be meopause?

chris | 11:15 am, January 30th, 2013

Hi I had Breast cancer 4 Years ago and had Chemo & radiotherapy. Once I started chemo my body I went into medically induced menopause. I still have huge mood swings and hot flushes and have have enough. Can I use Serenity Cream and will it help?

Linda | 6:38 pm, January 10th, 2013

I am 72, had a complete hysterectomy 20 years ago. I really didn’t get hot flashes badly but am now getting them. I probably only really notice them because I figure that at age 72 I should quit having them. What causes these, since I have no “parts?” Any information from you would be most welcome. Thank you.

ann | 3:33 am, December 3rd, 2012

I’m 35 and I’ve never had kids but I’ve been having hotflashes should I be conserned. I hope to have kids but that’s not happening no matter how hard I’ve tried

Cheryl | 10:25 pm, December 1st, 2012

I am ready to kill myself, these hot flashes are no way to live. I have had hot flashes for almost 4 years and finally went on the patch a year ago. It works sometimes but mostly not. I have hot flashes every 10 minutes and sometimes I have the strangest episodes that lasts for hours even days. It feels like someone is running cold water through my veins but I am sweating and my skin feels funny. Has anyone felt like this? I am in Canada and losing my doctor. We have terrible health car right now because of a shortage of doctors. I have pretty well tried everything for hot flashes….I’ve seen a naturopath, I’ve read almost every book, I’m on clonodine for sweating and there’s more. I wish dr. Phil would help me with all the access to doctors he has. I am 52 and was one a fitness instructor now I am fat out of shape, depressed and want to crawl out of my skin…..I can’t take it anymore. I am begging for any information anyone who is reading this has.

Carolyn | 6:37 pm, November 5th, 2012

I had a lumpectomy 4 years ago, chemo and radiation. Now mammogram shows cancer in other breast. Why did not my doctor not put me a drug to block estrogen. My cancer was the estrogen induced kind that was the fastest growing kind of cancer. I am really upset with my oncologist right now. Should I have a mastectomy now? Which test will show if other cancer cells have spread in my body? PET or MRI? Cat scans did not pick up this cancer in my breast.

Anita | 4:13 pm, October 28th, 2012

I am 77 years old and suffer with hot flashes getting “soaked” up to 20 times a day! I had a total hysterectomy at age 42. I was on Premarin for 28 years and felt great. It has been 3 miserable years since I stopped the Premarin. I did go off gradually over 5 years reducing the dose from 1.25. I have tried everything! The Dr. Said they would eventually go away-when??

Carlos | 6:57 am, October 26th, 2012

I suffer from Endometriosis and had a full womb/both ovareis/ cervix/ tubes removal two years ago but I STILL have the disease. I went back for my check up after 8 weeks and I was told very bluntly,’You still have the Endo in your bowel, bladder, ligaments and loads on your hernia scar tissue.’I am still suffering two years on, and I take Livial-a very mild HRT, but this makes me so bad I can hardly walk. Now my doctor has told me to come off the hormones and I’m hoping it will settle down until something can be sorted. I can’t go without hormones for long because I have a fractured separated pelvis and am already getting signs of Osteoporosis and Arthritis due to early menopause, besides severe menopausal symptoms.YOU CAN have Endo after a hysterectomy, DO NOT let anyone tell you otherwise. LOOK ON THE NET.

Cecilia | 5:54 am, October 26th, 2012

possible ovarian cneacr/cysts!!! HELP?i have a history of ovarian cysts in my family. i also believe that ovarian cneacr runs in my family too because my mother and ALL of my aunts have had Hysterectomies due to ovarian cysts. i have had fatigue alot in the past, i’ve had backaches alot lately and bad headaches. my periods are normal and usually i have mild cramps(after i take alot of medecine). i also have just experienced pain during sex. i have had sex like 6 times in my whole life and the last time was last night. my boyfriend and i have had sex before and it is usually painful at first because he has a very large penis but after a while the pain goes away but last night and the night before that it was so painful that we couldn’t finish. it only hurt when he penetrated deeply though. could this be ovarian systs/cancer?? i am 18yrs old and i was tested so i DONT have any not overweight im 5 6 118lbs

jo | 9:29 am, October 18th, 2012

Hi, I had a total hysterectomy due to a large cyst two years ago. I was 35 at the time. I do not suffer any mood swings (and never did when I had periods either) My two main problems are the hot flushes – which I am still getting now, and also extremely low libido. I am not on HRT and have never had it. What would you suggest? Thanks

Portia Goldman | 8:51 am, October 15th, 2012

Good day-i am 36yrs old and have been experiencing sweaty under arms is my menopause starting? I can be sitting at my desk and out of nothing i am damp.Please advise
Many thanks

melissa Kimberly | 5:36 am, August 30th, 2012

I am 49.5 years old. Have had zero signs of menopausal symptoms because I worked out 4-5 days week, including running, swimming, biking, hiking etc. I now have degenerative disk issue and have been on a 4 month break…well, here comes the hot flashes, insomnia, moodiness, etc. EXERCISE—it truly is a regulator. I did just start taking Progestra 20 to help on this period of no exercise, as well as Maca. Re: Patricia who is 70 and had a hysterectomy at 32, elctro shock therapy, breakdowns—My Mom had the same issues…I only wish I had been old enough to help her with these things- You sound like you are up on research and trying new ways of helping yourself…try the maca herbal pills…and exercise, even if it is pool work…give it a try. Good luck with your journey.

Louis | 9:20 pm, August 21st, 2012

I am 33 years old and not likely to have children at all. I have absolutely awful periods – the pains I can just about cope with but the effects my hormones have on me effects me 80% of the time. I know that this is a drastic operation but I really am suffering and have been for many years. Can anyone give me any advice on if this would be a good move to solve my problem.

christine emmings | 5:23 pm, August 21st, 2012

I had a total hysterectomy in 1986 and an oophrectomy in 1989, I was put on hrt and had to come off in May 2012. I am really suffering with hot flushes and night sweats and not sleeping well at all. I am trying the serenity cream but not been very successful at the moment. I have a number of health issues for which I take medication these being: thyroxine, statins, slozem(m/r capsules a calcium channel blocker) as I had a heart attack in 2004. Perindopril, aspirin omeprazole. I am getting desperate as I am constantly tired and am thinking of going back on HRT. I am 58.

Gabriella | 10:52 am, August 11th, 2012

Greetings:I’d like Greetings:I’d like to extend a warm Thank You for all the great vidoes that mygenie has posted, I have a question for you concerning EFT and Hormonal imbalance. I have been practicing EFT for the past 5 years, and it was my understanding, and perhaps I’m wrong, but I thought that Gary Craig mentions the possibilities of EFT not being successful when the body is experiencing hormonal change ? Could you please clarify that for me, I’m a bit confused on that aspect.Best RegardsOlga

Erin | 12:58 am, August 9th, 2012

I am 29 years old. I’ve never had any children and am experiencing hot flashes all the time. Does anyone know what it could mean? Does stress cause hot flashes? Do a women’s hormones change through out her life even in her twenties?

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colleen | 3:42 am, July 24th, 2012

Hello….I need some help. I am in Australia and 6 weeks ago had a hyster and my ovaries removed due to a cyst…..6 years prior to that I had a hyster due to a large fibroid (22cm in diameter) and had cervix and uterus removed. I had 2 kids late in life at 38 & 39 and had the huge fibroid during both pregnancies. 1st was natural, 2nd ended upbeing an emergency caesaran…needless to say I have a couple of stomach scars!
I used to get really bad pmt all my life, shocking mood swings and straight after the last hyster I have gone into shocking mood swings again……I was on anti depressants but I have gone of them as well as I want to try and fix what was obviously a hormonal imbalance. My other symptoms are now not sleeping (use to sleep at the drop of a hat) and hot flushes. My main concern is the mood swings with such young children.
when I was getting my staples out I told the doc about my symptoms and she just wrote me out a script for premarin without a word. I am terrified of taking this because of the breast cancer scare so it is still in my cupboard. I can handle the hot flushes so should I go back on anti depressants for the mood swings??? my cousin told me about progesterone cream which is how I found this site. Will this help me without uterus? thanks

Luisa | 12:15 am, July 18th, 2012

Hi. I am 53. My doctor says I am post menapausal. I have zero hormones she says. I did not experience hot flashes until now. I only have a flash of instant heat and a flood of sweating when I first wake up in the morning and strtch or move. Other than that I do not have flashes. Have you heard of this? Can you help me understand why this is happening? I am on meds for hypertension.

wellsprings | 7:00 pm, June 28th, 2012

Sadly hot flushes are no respecter of age and many women do have them after menopause. If you had chemotherapy following your breast cancer then that will have disturbed your hormones and could have been the trigger for the flushes.

Thelma Williams | 9:16 am, June 28th, 2012

Hello. I am 77 years old, took HRT for 17 years – no side affects whatsoever. Last August had a very successful operation for breast cancer but am experiencing hot flushes again and occasional night sweats.
Wondering if there is any reason for this right now. Very fit and healthy and take Pilatas twice a week. Many thanks.

wellsprings | 11:25 am, June 18th, 2012

Nicola – you certainly have many of the symptoms of oestrogen dominance and menopause and although your ovaries were left afar your hysterectomy you are unlikely still to be producing much progesterone now. You may find it helpful to read this article by Dame Dr Shirley Bond which will help you identify what is going on:

nicola | 10:15 pm, June 17th, 2012

had a hysterectomy 2 years ago but both ovarys remained, im 41 years old, having hot flushes, dryness down below, mood swings weight gain, forgetfull, been to gp blood came back normal, am i going through the menapause,

wellsprings | 6:57 pm, June 13th, 2012

Yes Robin – most women do only use progesterone to rebalance their hormones as they usually have more than sufficient oestrogen even at menopause.

Robin | 3:02 pm, June 13th, 2012

Can you do progesterone w/o estrogen? I was given both at the same time, still had a “crazy” reaction.

Robin | 2:19 am, June 13th, 2012

I went through very early menopause (43) and have suffered from hot flashes ever since. Sometimes, I get them every 20 minutes. I’ve tried everything, nothing works. Estrogen makes me crazy, other drug suggestions did the same. I’ve just about given up. Could it be underlying stress?

wellsprings | 11:56 pm, April 25th, 2012

Janie – the complexity of your medications means you need to speak with a doctor with natural hormone prescribing experience.

As you are in the United States we suggest you go to Dr Jeffrey Dach’s website (you will find several of his articles on this site) as he has a free email question facility at

Janie | 2:42 pm, April 25th, 2012

Im 55 yrs old & had a complete hysterectomy 9 years ago. I was put on bioidentical HRT immediately & did great for 3 yrs until my Dr. moved out of state & stopped practicing, therefore I could no longer get the compounded cream he prescribed. Since then I’ve gone to many Dr’s & spent tens of thousands of dollars on saliva tests, blood tests, hormone pellet implants, creams, etc. & I’m Still going downhill. I have aged tremendously, gained weight, have insomnia & hot flashes. I use 1 ML of Biest (70/30) testosteronr .75/.5 compounded HRT cream & take progesterone sr 100mg capsule daily. I’m at my wits end. I can’t spend more money on tests, I can’t sleep for constantly throwing bedding off during a night sweat & I’m tired of looking 65 when I’m only 55. What do you suggest my next step should be? I’m desperate.

wellsprings | 8:40 am, April 6th, 2012

Barb – a hysterectomy is an enforced premature menopause without the natural transition that the body normally goes through so there can indeed be all the symptoms you have described.

Your symptoms before the hysterectomy were those associated with oestrogen dominance and bioidentical natural progesterone can help with that, but you will need to stop the norethindrone as it is a synthetic form of progesterone that competes with the natural hormone for the same receptor sites in the body.

There are a couple of articles you will find it helpful to read on this site:

Barb | 6:56 pm, April 5th, 2012

I am 38 and had a full hysterectomy 5 weeks ago, due to extreme endometriosis, constant pain and ovarian cysts. I had always suffered from very irregular menstral cycle. I am on estrace, 1mg, and norethindrone, 5mg, everyday. During the day I am suffering from severe chills, I can never get warm. At night I can’t get barely any sleep because of the hot flashes and night sweats. I am extremely exhausted. Any help would be greatly appreciated.

AnnA Rushton | 9:05 am, March 24th, 2012

Jewel – your symptoms are those of oestrogen dominance – such as the fibroids – and initially the progesterone helped to start rebalancing your hormones. HOwever the fact you are continuing to have additional oestrogen means you are maintaining the condition that caused the oestrogen dominance.

The ideal would be to reduce your oestrogen gradually and increase your progesterone back to the initial dose for a month to allow it to be well established. If you can stop your oestrogen altogether – including your black cohosh which is an oestrogen herb – you will see an improvement.

On the ‘brain fog’ you might find it helpful to read the following article:

Jewel | 2:04 am, March 24th, 2012

I have been on natural progestrone now for about a year. At first it was helping me and now I feel I am back where I started. I haven’t had a period for about 6 months now. I have the sleeping issues as most, waking up all hours of the night, and sleeping hot during most nights wakes me up. I also take estrogen natural cream during the day time. I started with estrogen with testosterone and I felt very irritable, now just take the estrogen without testosterone and I am feeling alot of anxiety and still irritable at times. I take black cohash at times too when I feel i need to feel alittle happier and it seems to help. I got to a hormone Dr. and my hormones have been evaluated by a blood test. Do I need a saliva test instead? I am going through natural menapause and I did have fibroids before I found out I was in menapause. The Dr. wanted to do a hysterectomy, but I choose to do this natural. Where do I go from here. I feel I am having the brain fog again also, I start things all day long and never completely finish all of them. I am terribly stressed out at times and I was having headaches but now the headaches are better since I am taking straight estrogen. Please help if you can, I would appreciate any suggestions. Thank-you!

wellsprings | 8:33 am, March 14th, 2012

Cheryl – your symptoms are those of oestrogen dominance, fibroids are particularly associated with this, so tackling that with bioidentical natural progesterone can help.

However hormone rebalance is not an instant solution but can take time to fully control and while it may stop the growth of your fibroids it may not entirely shrink them. If they have not shrunk naturally at menopause it indicates that your oestrogen levels are still high.

Progesterone will help with all your other symptoms and you will find articles on this site on oestrogen dominance and hot flashes which may also be helpful in handling your situation.

Cheryl Gilson | 11:04 pm, March 13th, 2012

HI! I’m a 55 yr old , experiencing severe hot flashes ..mostly at night..I cannot get enough rest since I’m waking all night long. I still have gotten my period in the past yr. , but haven’t had it in 2 months. I have fibroids which have gotten bigger not smaller as they had told me they would as I go through menopause. I still get cramps, pains in my legs and back and feel very ill most of the month! I would love to just get a hysterectomy and end this crap!! But I don’t know if it will help in the long run..or if I should just ” wait it out”?? I also cannot afford to take at least 3 wks off from work to go for the surgery!! I have suffered for yrs with heavy bleeding, severe cramps and severe mood swings…and depression..Any advice would help! Thank you..DESPERATE!!

Mary Stewart | 12:57 pm, March 3rd, 2012

I remembered a friend once told me that one reason why a women get hot flashes is due to lack of financial income. I then pause for a while, i remembered my mom get mad and have conflict towards my father if they don’t have enough in their pocket. Well, sometimes i think might be :). Thank you for sharing this.

Peggie | 4:54 pm, January 23rd, 2012

Dr. Coope, thank you for your quick response to my post. I will be ordering the Serenity post haste.

Dr Tony Coope | 4:48 pm, January 23rd, 2012

Peggie: the increased risk of blood clotting problems that may give rise to strokes, deep vein thrombosis and heart attacks is only related to the synthetic progestogens, not the bioidentical progesterone that is the basis of Serenity and various other ‘natural’ creams.

Peggie | 7:37 pm, January 22nd, 2012

I wanted to ask, is Serenity okay to use for a woman who has suffered stroke? My GYN had pulled me off all hormones because she said there is risk of clotting which is not good for a stroke patient Looking forward to a positive answer. THe hot flashes have not eased.

wellsprings | 4:20 pm, January 22nd, 2012

Amy – although there is an average age for menopause it is very variable depending on the state of your hormonal health. From your description you sound to be in perimenopause with all that entails and certainly bioidentical progesterone cream can help alleviate hot flashes, mood swings, anxiety and depression.

You will see from the previous answer to Helga that there are a number of articles on this site to help you and to start with looking at oestrogen dominance and then reasons for hot flashes would be the place to begin.

Amy | 2:48 am, January 22nd, 2012

I am 36 years old and have not had a hysterectomy. My mother went thru menopause at age 40 and her mother went thru it at age 39. I have been suffering from intense hot flashes for 3 years now…the kind that make you drip sweat off of your face and entire body and then freeze to death from the body’s response to cool you down. And the night sweats keep me from having a peaceful night’s sleep. It started when I began having extended periods 3 years ago. I eventually had a DNC in hopes of correcting the extended periods. I would sometimes have 2 periods a month. Now I have started skipping periods. And sometimes will spot in between periods. I sometimes get a break from the hot flashes but if I have an abnormal period, they come back with a vengeance. My OB/GYN hasn’t done much about it other than prescribe anti-depressants which I took with no improvement in my symptoms. I don’t think he believes I could be going through menopause at such a young age. I am extremely frustrated as this is affecting my quality of life. Can you offer me any suggestions?

wellsprings | 10:22 am, December 28th, 2011

Helga – we are very sorry to hear this, but hot flushes are very individual and can be subject to a number of causes including hormonal imbalance and a number of other factors can also be involved, including oestrogen dominance and stress.

Many women do find that by supplementing with Serenity bioidentical progesterone helps control their flushes.

You will find several articles on this site relating to hot flushes but two that would be most useful to you are these:

We do hope this helps and answers your questions but don’t hesitate to get in touch if you need more information.

Helga Kelsch | 10:03 am, December 28th, 2011

I’m 72, my Dr. took me of the patches witch I have taken for 18 years, I’m on promensil for 3 month but thy don’t help, I have up to 20 Hot flashes per day and night sweats some days few less, I’m not happy, can some one help ???

Peggie | 1:41 am, November 24th, 2011

Looking forward to reading your article, Dr. Coope. Hopefully, there will be some help for us women who are forever taking our own personal “tropical” vacations.

Dr Tony Coope | 3:55 pm, November 23rd, 2011

Peggie and Janice: there is not enough space to develop this in detail here, but I’ll be posting an article on this site very soon; there is another way of perceiving menopausal symptoms. A recent study has shown that a much higher proportion of ‘older’ women (average age 59 in this study) than was expected still suffer from hot flashes and night sweats, well after menopause is assumed to be over.
To me this is further confirmation that it’s not ‘just your hormones’, but that there is something deeper going on, and that particularly over the age of 55 and beyond an approach beyond the hormonal is needed to achieve resolution of these persistent symptoms.
I’ll develop this further in the article, but if you really pay attention when you are having a flush, you may become aware that there is an emotion always present underneath the physical symptoms, an emotion that has the power to instantly make you ‘all hot and bothered’. This would not be the same for every woman, nor may it be the same one every time – it could be fear, anger, shame, self- criticism, regret and a number of other, less obvious feelings.
In this way of looking at things, resolution or a lessening of symptoms would result from contemplating these perhaps suppressed emotions, of which you may not have been aware, and bringing them up into the light of your awareness.
In the article I’ll include some thoughts on the best ways to achieve this somewhat daunting, but ultimately rewarding, task.

wellsprings | 6:39 pm, November 17th, 2011

Peggie – you might find Dr Coope’s response to the previous post also helpful for you. Also there is an article on the site about herbal help for menopause here:

You don’t say if you are already taking Serenity, but if you are then you may find it helpful to increase the amount of cream to a quarter teaspoon for a month and monitor your progress. Also, some women do find that they get fast relief from flushes by applying the cream during a flush to the inner wrist where the skin is thinner. This works faster, but is not as long lasting in terms of effect so you do need to also be rotating the cream to the other sites as usual.

Sweats like this really do make life difficult, so I hope you get relief soon.

Peggie | 6:22 pm, November 17th, 2011

As a follow up to a previous post: I had to be taken completely off ALL forms of HRT due to my having had a stroke in April. So consequently, ALL my menopausal symptoms have returned with a vengence. I managed to get the night sweats under control with the herbal supplement (Estroven clone) and am also using melatonin for the insomnia. Unfortunately, my hot flashes are getting insufferable. At home it’s not so much an issue as I can take off what needs to be taken off until the chills start. But at work, no way! While recuperating in the hospital from my stroke, I received a call that my dear mother had passed. The hospital discharged me on Celexa as an anti-depressant. At my last GYN appointment, I was told that Effexor is another anti-depressant, which has been found to also control hot flashes for certain women. So the doctor switched me to the Effexor XR. I’ve been on this for almost a month now and have noticed no difference. I’m at my wit’s end. I baby sit my 5 month old granddaughter and have found that I cannot even hold her, as her body heat will bring on a monstrous hot flash. I’ve learned to bring a tank top with me when baby sitting, but how ridiculous is this…wearing a tank top in the middle of the winter time? Any help out there?????

Dr Tony Coope | 5:32 pm, November 17th, 2011

Janice: if you are asking a question, I imagine it is to do with experiencing hot flushes many years post-menopause, possibly not having had many previous problems. This is always slightly puzzling; you probably need to consult your doctor about this if you haven’t already done so. In my experience it is often helpful to have a 1-day estrogen/progesterone (saliva) test before attempting to treat these symptoms, but the alternative is to trial a course of herbal supplements such as black cohosh, dong quai or soy isoflavones, or if they are not effective, obtain a pot of 20:1 combined progesterone/estrogen cream from Wellsprings, which is often very helpful in this situation.

janice m Haag | 5:59 pm, November 16th, 2011

I am 71 and for the past year I am having hot flashes I had a partial hystromey at the age of 48 I never took harmone replacement therpy.

Dr Tony Coope | 9:38 am, October 12th, 2011

Julie: in normal circumstances, one ovary should be enough to maintain function. The key here is your hysterectomy, – it is not uncommon after such an operation, even if both ovaries are left, for their hormonal output to decline within 2 or 3 years, bringing about a premature menopause; so the answer to your question is yes, and this is likely what has happened here.
For the future, you may be advised to go onto standard HRT, but I would urge caution. It is very entrenched in medical thinking that hot flashes are simply due to a lack of estrogen, and thus are symptoms of ‘an estrogen deficiency syndrome’. This is much like saying a headache is the result of an aspirin deficiency, – it is more complicated than that!
Because you no longer have a risk of developing cancer of the womb, you will probably be offered an estrogen-only form of HRT, the protective effect of a progestin not being needed. But you developed a large fibroid, which suggests that for some time you have had a hormone imbalance of estrogen in relation to depleted progesterone levels,(estrogen encouraging its growth, and progesterone opposing that effect).
If this is the case, then more estrogen for you may ease the flashes, but at the cost of a significant risk of side effects, including an increased risk of breast cancer.
I think it is important for you to know what your estrogen/progesterone balance is (a simple saliva test), so that, if you do need estrogen, it can be balanced with bio-identical progesterone. It may even be that progesterone alone will rebalance you, and save you significant difficulties in the future.
One last thing; stress is a big factor in the development of hormonal problems, and hormonal imbalance makes it more difficult to cope with stress. I would think that losing your womb and your baby at the same time has to be very near the top of a list of possible emotional traumas, which is why I think it is so important for you to get this one right.

wellsprings | 9:00 am, October 12th, 2011

Julie – a woman can have hot flashes at any time as it is related to fluctuating hormone levels and those can occur throughout a woman’s life. Other factors also influence them such as stress, diet and oestrogen dominance where your progesterone is not sufficient to counter the effects of the oestrogen.

After a hysterectomy, even with one ovary left, you will very likely not be producing progesterone and not enough to balance the oestrogen.

Julie Guthery | 1:29 am, October 12th, 2011

I’m 43 yrs old and had a hysterectomy 2 yrs ago. (2009) I was pregnant and lost the baby due to a large fibroid tumor that was growing towards my spine. I had a D&C, and a week later a hysterectomy. I have 1 ovary left. I’m sitting here burning up. Can a woman have hot flashes and menopause with 1 ovary?

Peggie | 6:03 pm, April 12th, 2011

Thanks for the reply, Anna & Dr. Coope. Yes, I had a hysterectomy at age 32 due to pre cancer, however my ovaries were left. Consequently, I went through a “normal” menopause in my late 40’s. I was shocked to read your comments about the progesterone, as my old GYN kept telling me that by only having me on Estrogen, it would lessen my chances of breast cancer. I am VERY confused now. Coincidentally, I have a GYN appointment this afternoon with a new doctor as my old one retired last summer. I have printed out my original inquiry and your response from this website and will definitely be bringing it along with me. I will update. Thanks again.

AnnA Rushton | 3:36 pm, April 12th, 2011

Dear Peggie – HRT is intended to ‘flatten out’ your hormone surges and in this respect it can help with hot flashes. However, long term HRT is not recommended for many health reasons and there is no guarantee that increasing the dose will have the effect you desire.

I spoke with Dr Coope, whose articles you will find on the site, and his comment was that you should not be on this form of HRT at this time of your life, partly because of the potential health risks, but also because it is clearly not solving your problems.

Cenestin contains a mixture of estrogens, with no ‘opposing’ progestogen, which suggests you have had a hysterectomy before you started on it. Many of the reasons for a hysterectomy are related to estrogen dominance, – a relative deficiency of progesterone; this is likely to still be having effects now, particularly on your sleep.
Dr Coope suggests NO to a higher dose of Cenestin, and no to another form of HRT until you have talked to a doctor who understands this situation, and probably have had a simple saliva test to assess your progesterone/estrogen levels. It should not be difficult to turn this around, but there needs to be an accurate diagnosis first.
If you wish to speak with Dr Coope further about this he is happy to talk it through with you her if you email him via the site.

I hope that helps – AnnA

Peggie | 6:15 pm, April 11th, 2011

I am 61 years old and have been on Cenestin HRT for at least 13 years now. I am still suffering hot flashes, night sweats and the very worst… insufferable insomnia. I have no clue anymore what it’s like to have a decent night’s sleep. Could it be that I need to be on either a stronger doseage of the Cenestin or a completely different HRT? I’m getting desperate here, mostly for a good night’s rest. I work at a high school and have to be ALERT… not falling asleep at my desk! Thanks!

Dr Tony Coope | 9:44 am, January 24th, 2011

Masha: this sounds complicated, with a number of metabolic systems involved, – hormonal, thyroid, immune, probable insulin resistance and sugar imbalance, as well as the anxiety/depression. Behind it all may be some deep emotional issues of which you may or may not be aware.
To unravel just what is involved, and what is causing what, will take time, and would best be done face to face with a doctor who understands these things, but obviously it may not be so easy to find one in your local area.
If you would like to e-mail me your story separately, I will have a look at it and see if I can piece together a coherent diagnosis, – how it all fits together; but I would need to know a lot more detail about your past and family illnesses, what investigations you have had, and their results; what medications you are on, and a detailed history of your symptoms in the order they have developed. I’ll then come back to you with some questions, and we’ll see where we can go from there.

AnnA Rushton | 5:45 pm, January 23rd, 2011

Elizabeth – a saliva test will not treat hot flashes, only establish what your hormone levels. Talk to your doctor about being tested and discuss what you have already tried to deal with the flashes and it may that are and if you need supplementing with natural progesterone could be the answer.

Elizabeyh Ackroyd | 4:39 pm, January 23rd, 2011

Hi Dr . I have had this for two years and this year . It makes me not well at times and it is not fair on my husband he is so good . I have tried things but no good .Can you tell me about hormone saliva test will it work . E Ackroyd

Masha | 5:02 pm, January 21st, 2011

Hi Dr., I am having a really hard time with so much. I am 36 yrs old, i have 2 school aged boys, am married. In less than 6 months I put on 50 lbs. and my whole shape changed from light pear to extreme apple shape. I have never had such a huge stomach. I am hypothyroid, but am being treated. I also suffer from fibromyalgia and sjogren’s syndrome. I took a 24 hr cortisol test which was normal (yet that day I had severe itching so I took 8 benedryl)I think one of the worst symptoms is severe depression, over 4 months now, plus lots of anxiety. I wish I had enough money to work with a natural type dr and really figure out what’s wrong. I also have aged alot. I have been really hot upon wakening and really warm in 40 degree weather. I am on a lot of medications. I constantly have headaches and nausea, daily. Every afternoon around 4 pm I crash, even though I get a lot of exercise. I really want to get better, especially so I can be a better mommy and enjoy life.Any help would be greatly appreciated, Thank You in advance!!

Dr Shirley Bond | 10:23 am, October 11th, 2010

Dear Haley,
Unfortunately it is often the case that women like you who have an early menopause experience severe problems.

I do not understand why your GP has given you Clonodine when you obviously need some hormone replacement unless of course there is some medical reason for this that you have not mentioned.

I would sugest that you consult a doctor who is experienced in the use of bio-identical hormones which are what I would suggest. However a full medical history would be needed before you were prescribed these.

Hayley | 3:22 pm, October 10th, 2010

Hi Im 44 and have been experiencing menopausal symptoms on and off for the past 2 yrs. My periods stopped totally about 18 months ago and the hot flashes have been evident over the past 2 yrs but not all the time during the 21months or so. My problems have really arisen over the past 2 months where I can only describe my symptoms as a nightmare!.. I get the flashes and quite excessive sweating mainly in the day time but my sleep is interrupted each night by quite mild flashing and sweating and greatly disrupts my pattern of sleep thus making me completely worn out throughout the day. I have tried herbal tablets black cohosh & menolieve etc but had no relief. My GP started me on clonidine recently but I have felt extremely light headed and noticed my BP has plummeted – hence I have had to cut them right down – only 25mcg BD – however I still feel light headed. Im not sure what else to try and there is such a mind field of products out there its difficult to know which to choose. I have been feeling pretty miserable of late because I hadn’t realised how unwell my symptoms are making me feel. Im normally very active of reasonably normal weight (although have put on few pounds – that I want to lose). Im really asking for any help and assistance you can offer as Im at a loss as in which direction to turn.
Many thanks

AnnA Rushton | 1:10 pm, May 28th, 2010

Diana as you have presented quite a number of different issues here, I have passed on your comment to Dr Coope and his reply to you is below:

Diana – That’s quite a collection you are on, which may possibly be counter-productive. I would want to simplify things a little, but to do that it would be good to know a little more of your story,- for instance your past symptoms; to what degree depression has been a problem for you; and how much stress you have been, and are now, experiencing.

The sleep aspect is very important in all of this, – it contributes to the situation significantly, so it is important to get right.

One of the very best products I have found for this is a nutritional supplement called ‘Total Calm’, containing 3 amino-acids which help balance the body’s natural mood and brain chemistry. It tends to lift mood, reduces tension and regulates sleep without the unwanted side-effects of tranquillisers, sleeping pills or anti-depressants.

For a general balancing of your hormonal system, a combined botanical/homeopathic product called ‘Endopath-F’ is very interesting, and definitely worth trying in any female system imbalance such as hot flashes, PMS, mood swings or general menopausal symptoms.

These supplements come from different companies in the USA, but can be ordered in the UK from ‘Health Matters’ via e-mail:

If you would like to discuss any aspect of the above, please get in touch with me via

Diana | 5:20 pm, May 26th, 2010

I am 52 and have had hot flushes since age 50. I started on the serenity cream a few months ago and am also on evening primrose oil, black cohosh, phytoestrogens, st johns wort and kalms tablets which contain valerian to help sleep. Despite all this, I sleep badly and sweat at night. Is there anything else you could recommend so I can get a good night’s sleep and stop sweating, particularly at night. I haven’t had any children nor any gynaecological problems or operations.

Thank you.


Dr Shirley A Bond | 11:38 am, May 10th, 2010

Dear Lisa,
As you are young (47) and your periods had not stopped prior to your hysterectomy and removal of ovaries you may well need hormone replacement.

However you must realize that oestrogen (Premarin) on its own is not a good idea. Oestrogen should always be balanced with progesterone whether you still have a uterus or not. This is to protect the body from unwanted effects of oestrogen on its own on the body.

If you do not want to be on HRT at all you could always come off your Premarin slowly and see how you are. The hot flushes will stop eventually and can be helped to do so by taking supplements containing isoflavones and using some progesterone cream.
Alternatively you could ask your doctor to prescribe some Oestriol (a weak oestrogen and combine it with Progesterone cream such as Serenity

If oestriol is not available the tablet called Hormonin in the UK may be.
Even though your bones are OK now you must look after them. You can do this by taking a good bone supplement (details are on the web site) combined with progesterone cream.
If you want more details we can arrange a telephone consultation if you email me via the site.

LISA | 5:38 am, May 10th, 2010


Dr Tony Coope | 11:30 pm, May 6th, 2010

Lori: your history of endometriosis, and more recently the development of the cyst, suggests to me that the likely cause of your flushes is an imbalance (increase) in the ratio of oestrogen to progesterone in your hormone levels. This could be clarified via saliva testing, which would show whether progesterone cream would be of benefit to you. Please let us know if you reach an impasse and need some help.

Lori | 7:22 pm, May 6th, 2010

I’m sorry. I am 34 now. All of this happened pretty recently. The hot flashes started about 6 months ago after I had a grapefruit size, benign cyst in my abdomen removed last August (post hysterectomy). I have another appointment this month & I will ask again. No one seems ready to say that is what it is since my labs look so good.
Thank you for your response.

Dr Tony Coope | 5:35 pm, May 6th, 2010

Lori: this is a tricky one. You do not mention your age and how long you have had
these symptoms, but, yes, you can have them with normal tests, especially if they are on blood not saliva, which is the more reliable. The best treatment for you would depend on an accurate picture of your hormone balance (oestrogen/ -progesterone) now, which may have been affected by stress, oestrogen in any previous HRT, and by your level of thyroid function, which is not always correctly assessed by the routine tests done by NHS laboratories.
You do need to talk this through with a doctor who is familiar with these things. If this is not possible for you, I would be very happy to do so and hope to guide you in the right direction. (

Lori | 3:31 am, May 4th, 2010

I had to have a hysterectomy (all but one ovary) at 30 due to Endometriosis. I have started having hot flashes but especially the sweats. My dr ran labs and said my hormone levels are normal. Could I still have break through menopause symptoms if my labs are normal? Also had thyroid removed at 28 due to cancer.

Dr Tony Coope | 11:09 am, April 18th, 2010

Karen: it is possible that you might benefit from a phytoestrogen like Soyagen in addition to the progesterone, but if you haven’t already done so you should ask your doctor to check your thyroid function. A possible problem here is that the labs do not routinely check the level of T3 , the more active form of the thyroid hormone. T4 is measured, but if it is not fully converted into T3 in the body, you can be told your tests are ‘normal’ when you do in fact have, an under-active thyroid.
A still useful way of checking for this possibility is to take your under-the-tongue temperature immediately on waking each morning for a week, best done from the second day of your cycle. If this ‘basal’ temperature is less than 97.6F/36.5C, there is a possibility of hypothyroidism.
A very excellent book, if you are interested in thyroid problems, is ‘Your Thyroid, and how to keep it healthy’ by Dr Barry Durrant-Peatfield, (Hammersmith Press).
Let us know how you get on!

Dr Tony Coope | 10:26 am, April 18th, 2010

Patricia: this is a bit of a heartbreak story. You don’t say why you had the hysterectomy, but 32 is a very young age to have such a drastic procedure, especially as you lost your ovaries as well.
It sounds as though you have never recovered from the sudden crash in your oestrogen and progesterone levels; 38 years ago medical thinking about these matters was still fairly embryonic, – did you have hormone replacement ?
That’s on one level; but the true cause may well lie in your experiences prior to the operation. Are you carrying an unresolved burden of sadness, regret, or even anger that you have never been able to express? These are sensitive issues, but if you feel you could e-mail me your story in more detail, including the reasons for the operation, what treatment you have had, and what things you yourself have tried, we might be able to help find a solution. We could look at hormonal and nutritional possibilities, and subtler things as well.
As the saying goes: ‘it’s never too late to have a happy childhood!’

(my e-mail as in the column above)

Dr Tony Coope | 9:28 am, April 18th, 2010

Nancy: If your hysterectomy was for fibroids/heavy periods; or if you had PMT with headaches, fluid retention, mood swings, breast tenderness, depression or sugar cravings , then you almost certainly had a relative oestrogen ‘dominance’ from a low progesterone level.
This would mean that you should be on progesterone, and not premarin, which, containing mixed oestrogens and no progesterone, is giving you more of what you probably DON”T need.
Progesterone doesn’t cause unwanted hair growth even in ‘excess’. The body has two biochemical pathways to make its stress and sex hormones (eg cortisol, oestrogens and testosterone); one via progesterone, the other via ‘androgens’, which in excess may have a male-type effect on you. If your progesterone is low the body uses this second pathway, hence more androgens, extra hair growth etc. If you would like to e-mail me your tel. number I could call you and discuss what’s best for you (

Dr Tony Coope | 10:43 am, April 17th, 2010

For Elizabeth (Ackroyd): often progesterone is sufficient; sometimes you need to add phytoestrogens or herbs such as agnes castus or black cohosh. Sometimes these are enough on their own. The key is to nudge your hormones back into balance.
If you would like to e-mail me in more detail, esp. in relation to your past menstrual history, I will see if I can pick out the clues. If this does not shed light on your problem, you may need a hormone saliva test, which usually clarifies the situation. Good luck! (

MARGARET HORNE | 9:45 pm, April 13th, 2010


Karen | 2:46 pm, March 20th, 2010

I have been using progestrone and find the hot flashes are not as bad, but still cannot move my weight even by eating healthy.Also hair thinning on the top. I have been on menapause since 42 now 50 been on HRT on and off. I have been told to take a quarter of teaspoon of progestrone now, any other suggestions

nancy | 2:04 am, March 20th, 2010

I have had a hysterectomy but still have my ovaries. Hot flashes , broken sleep, low libido, …am on premarin for 3 yrs . I started serenity and thought it was helping. I didn’t stay on it long because I am unsure what I need. Will this cause extra hair growth if I don’t need this hormone? Would like to really give this a try but how do I know for sure which hormone i need?

Rae | 4:49 am, March 19th, 2010

Same here started at 33 after opp tried other till cancer scare came out went cold turkey THEN i read about this cream i cant Ty enough , worked for awhile then didnt seem to ,increased the cream topped up again but thing i ever brought from over sees have put a lot of my friends onto it here in Australia they also have found the benefits , our saying is ( a little Dab will do ya ) Serenity from wellsprings mad if you don’t try it

patricia | 8:59 pm, March 18th, 2010

I’m 70…hd a total hysterectomy aged 32. Had extreme chills and hot flushes. My husband said tht fm that point on he saw me go downhill. I’ve tried everything. I met a woman on a short holiday and she was 80 yrs old…she told me she had them right thru her 70’s. I still suffer fm depression..on medication..but nothing helps..hv hd 3 breakdowns .. electric shock treatment..many types of therapy…suffer insomnia. I may sound like a ‘whinger’ but I am not…I am just ‘wore out.’ I eat soy, both soft and hard, drink green tea, mango, use relaxing music, gym, swim, and massage whn I can afford it..walk to get out in fresh air…u name it, I feel like I hv tried it……

tracey charles | 8:53 pm, March 18th, 2010

i had pre menopausal symptoms, i was given dr lee’s book to read. i orderd the natural progesterone cream and my symptoms have massively improved. iat college i even did a presentation on the subject and one of the students now use the cream and has stated that she feels so much better. i try to tell any woman that i come across about oestrogen dominance- i have been continually re-ordering dr lee’s book and give them your web page to order the cream. its surprising the amount of women that do not know about this subject matter. keep up the good work!

Jane Peters | 5:24 pm, March 18th, 2010

I have been using a progesterone cream for about 2 years and its definitely helped me. My husband used to joke we slept in a duck pond because the bed was so wet by the morning with my night sweats! The cream stopped all that and bar the occasional hot flush I’m sailing through the menopause.

AnnA Rushton | 5:23 pm, March 18th, 2010

Sorry to hear you are still suffering Liz, but the thing with hot flushes is there are many ways to treat them and every woman is unique and responds differently. It’s worth trying a few solutions until you find the one that works best for you.

Elizabeth Ackroyd | 3:56 pm, March 18th, 2010

I started the menopause 48 was on hrt for 3 years . Then they stoped . But they came back 2 years after so i tried your cream but it did not work . so i have to put up with it .Some days good and bad. From liz

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