Sudden heat surges, racing heart, drenched pajamas. If vasomotor symptoms are disrupting your sleep or your day, you’re not alone—and you don’t have to white‑knuckle it. We offer fast, evidence‑based relief with options tailored to your health profile.
Falling estrogen narrows the body’s thermoneutral zone—your brain reads minor temperature shifts as “too hot,” triggering heat‑dumping responses (vasodilation, sweating). Sleep disruption then amplifies daytime symptoms and mood changes.
Transdermal estradiol (with progesterone if you have a uterus) is the most effective treatment for hot flashes and night sweats. We personalize dose, patch/gel options, and add‑ons to balance symptom relief with safety.
We review your personal and family history to tailor risk‑benefit and monitoring.
For women who can’t or prefer not to use HRT, options include certain SSRIs/SNRIs, gabapentin (especially for nocturnal sweats), and oxybutynin. We guide selection, dose, and timing to minimize side effects.
Because night sweats and insomnia reinforce each other, we pair symptom control with sleep optimization: cooling strategies, light/timing tweaks, caffeine/alcohol guidance, and, when appropriate, short‑term sleep aids.
Targeted labs (e.g., thyroid, ferritin, glucose/A1c) when history suggests contributors to heat intolerance, palpitations, or poor sleep.
We evaluate personal risk factors (e.g., VTE, migraine with aura, cardiovascular history) and coordinate with your primary clinician as needed.
We map your symptoms, triggers, sleep, medications, and health history to choose the safest path.
HRT and/or non‑hormonal options, plus a practical cooling & sleep plan you can use the same week.
We adjust dosing and timing to lock in relief while monitoring side effects and overall wellbeing.
For most healthy women within about 10 years of their last period, appropriately dosed HRT can be a safe and highly effective option. We individualize risk‑benefit based on your history and goals.
Women with certain histories (e.g., active or high‑risk blood clots, certain cancers, unexplained bleeding) may be better served by non‑hormonal options. We’ll review your specifics in detail.
Many women notice improvement within 1–2 weeks on the right therapy, with continued gains over 4–8 weeks as we fine‑tune.
Some women find modest benefit from select supplements and cooling strategies. We provide guidance on what’s evidence‑supported and how to avoid interactions.
Educational content only; not a substitute for personal medical advice. For urgent symptoms—chest pain, severe shortness of breath, fainting—seek emergency care.
