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Perimenopause, Explained

Perimenopause, Explained

Di: Perimenostage
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One perimenopause topic a week, every number sourced. Hot flashes, 3 a.m. wake-ups, HRT risks in real numbers, lifting weights after 40: what's happening in your body, how long it lasts, and what the research says helps. Short episodes, about 5 minutes, with the sources for every number in the show notes. Free 2-minute perimenopause stage check: https://perimenostage.com/ Narrated with AI voices; every number is checked against its source. For information only, not a substitute for advice from your own doctor.Perimenostage
  • Hot flashes: why they happen, how long they last, and what actually helps
    Oct 20 2026

    A hot flash is a sudden wave of heat through the face, neck and chest. Between 50 and 75% of women get hot flashes or night sweats in the menopause transition, and in the SWAN study frequent hot flashes lasted a median of 7.4 years. Here's what's happening in your body, how long they last, and what the research says helps.


    Free 2-minute stage check: https://perimenostage.com/?utm_source=podcast&utm_medium=audio&utm_campaign=ep02_hotflashes


    Chapters

    0:00 Intro

    0:16 What a hot flash is

    0:38 Why it happens

    1:21 How common, and how long

    1:59 At night

    2:41 In the moment

    3:09 Options that work

    4:18 When it isn't menopause

    4:46 Takeaways


    Sources

    • How common: PubMed 36749328; 2023 review, PubMed 37388717

    • Why it happens (the brain's thermostat, neurokinin B): PubMed 37388717

    • How long (SWAN, 3,302 women): PubMed 25686030

    • Night sweats and sleep (SWAN): PubMed 18652093

    • CBT for insomnia in women with hot flashes: PubMed 27213646

    • Hormone therapy and non-hormonal options: PubMed 36749328; The Menopause Society 2022 position statement, PubMed 35797481; The Menopause Society 2023 nonhormone therapy statement, PubMed 37252752; NICE NG23

    • Lifestyle and triggers: NHS, Hot flushes


    For information only, not a substitute for advice from your own doctor. Sweats with a fever, cough or weight loss, or palpitations with chest pain, need medical attention.

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