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Speaker 1: Brought to you by the reinvented two thousand twelve Camray.

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Speaker 1: It's ready. Are you welcome to Stump Mom Never told you?

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Speaker 1: From house top works dot com. Hello, welcome to the podcast.

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Speaker 1: This is Molly and I'm Kristen. Kristen. The topic for

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Speaker 1: today is the hot flash. I would say it's probably

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Speaker 1: the most famous or infamous uh symbol of menopause, and

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Speaker 1: it's it's so often used as a punchline. I feel

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Speaker 1: like that's how I knew. It's just those movies or

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Speaker 1: TV shows where uh, middle aged woman just starts banning

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Speaker 1: herself having a hot flash breakout in a sweat. But

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Speaker 1: the more research I did on them, it's no laughing matter.

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Speaker 1: It is no laughing matter. Hot flash is not a

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Speaker 1: pleasant experience that can last anywhere from two minutes, which

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Speaker 1: that's okay. I can handle two minutes a heat, but

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Speaker 1: how about a thirty minute hot flash? And you know

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Speaker 1: it's it's one thing just to say you get really hot.

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Speaker 1: But listen to this description that's on our website how

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Speaker 1: stuff works dot com. You experience a sudden wave of

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Speaker 1: intense heat rushing through your body within seconds of its arrival.

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Speaker 1: The strange feeling that you're experiencing causes you to sweat,

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Speaker 1: and you'd swear that your skin is on fire. As

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Speaker 1: foolish as it sounds, you feel like stripping off the

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Speaker 1: clothing that you're wearing and finding the coolest place you can,

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Speaker 1: even if it's the middle of winter. Within minutes or

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Speaker 1: even hours, in some cases, the feeling passes and this

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Speaker 1: od sensation disappears just as quickly as it arrived. I mean,

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Speaker 1: I oh, if I was experiencing that, get out of

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Speaker 1: the way, Just get out of the way. I just

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Speaker 1: was like, like, also like a stereotype of meeting like

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Speaker 1: a sexy stranger on a train. That's maybe that's the

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Speaker 1: way to like spice up the hot flashes reputation. Just

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Speaker 1: call it a sexy sexy visitor feeling. I don't think

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Speaker 1: menopausal women would appreciate it that much, because while hot

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Speaker 1: flashes can be brief, lasting only a few minutes, they

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Speaker 1: can come up over a period of five plus years.

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Speaker 1: Five plus years, Molly and well, and you know, it

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Speaker 1: varies so much from woman to woman, as as most

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Speaker 1: things tend to do, but that five plus marker can

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Speaker 1: be really scary when you're trying to figure out the

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Speaker 1: way that you're going to treat your hot flashes, which

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Speaker 1: we'll talk about a little bit later, but let's get

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Speaker 1: into why this happens, Christen, because everyone associates this phenomenon

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Speaker 1: with menopause, but what specifically is going on in the

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Speaker 1: body that causes the sexy visitor on the train feeling.

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Speaker 1: Hot flashes originate in the hypothalamus, and this is a

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Speaker 1: part of the brain that regulates the body's temperature and

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Speaker 1: it's linked so often to menopause because levels of estrogen

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Speaker 1: and testosterone will influence the hypothalamus, endearing menopause. When levels

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Speaker 1: of estrogen drop, the hypothalamus will think that the body

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Speaker 1: is overheated and going to overdrive. Right, all your blood

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Speaker 1: vessels dilate, which causes more more blood to rush through

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Speaker 1: the vessels very rapidly, which is what results in those

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Speaker 1: symptoms like a feeling of warmth or intense heat pressure

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Speaker 1: in your head as that blood really starts pumping, sweating,

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Speaker 1: the flash appearance, rapid heartbeat, and then um, it's like

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Speaker 1: if your body thinks it's overheated and it's cooling down,

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Speaker 1: that's why you get chilled. Almost immediately after the hot

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Speaker 1: flash ships sides, and this is experienced by women who

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Speaker 1: are going through menopause. No fun. But there are environmental

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Speaker 1: factors that can influence the frequency of hot flashes as well,

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Speaker 1: such as smoking. Women who smoke are more likely to

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Speaker 1: get hot flashes. Women with a high body mass index

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Speaker 1: tend to have more hot flashes people who are physically inactive,

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Speaker 1: and also ethnicity has a correlation to hot flashes UM.

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Speaker 1: According to Discovery Health, more African American women report menopausal

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Speaker 1: hot flashes, and they're also less common in women of

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Speaker 1: Japanese and Chinese descent. But I did you Christen that

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Speaker 1: they just don't know if that's because the Asian women

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Speaker 1: won't report a hot flash UM or if they really

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Speaker 1: do experience them less because you know, probably not the

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Speaker 1: easiest thing to talk about with your doctor, and it's

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Speaker 1: not it's one of those things that really can't be

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Speaker 1: measured per se. It's all about your subjective experience of

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Speaker 1: what what you're going through. And you might hear hot

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Speaker 1: flashes referred to as night sweats um in of women

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Speaker 1: who are going through menopause. Hot flashes or night sweats

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Speaker 1: will wake them up in the middle of the night.

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Speaker 1: Although we did come across the study that um it

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Speaker 1: tracked women who claimed they were frequently woken up in

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Speaker 1: the night by hot flashes, and they found that during

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Speaker 1: the first half of the night it was a hot

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Speaker 1: flash that woke the women up. During the second half

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Speaker 1: the night, when the women were in deeper sleep, the

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Speaker 1: things that were actually waking them up where things like

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Speaker 1: sleep apnea and restless leg syndrome. So that's it's instead

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Speaker 1: of solving a puzzle for researchers, that gave them something

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Speaker 1: else to work on, because right now, what people are

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Speaker 1: trying to figure out is how hot flashes and other

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Speaker 1: symptoms of menopaus are related to these other conditions that

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Speaker 1: women of a certain age experience. For example, depression is

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Speaker 1: a big one. Right there is seems to be huge

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Speaker 1: connection between depression, menopause, and hot flashes, and doctors have

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Speaker 1: tried to figure out whether or not depression precedes the

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Speaker 1: onset of hot flashes, or if hot flashes start and

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Speaker 1: then the depression begins. Because one of the main therapies

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Speaker 1: that doctors are now using prescribing for hot flashes are

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Speaker 1: different types of anti depressants. So what they did with

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Speaker 1: this study that was reported by Mass General hospital the

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Speaker 1: Center for Women's Health Is they examined whether depression came

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Speaker 1: first or the hot flashes came first. And according to

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Speaker 1: the study that lasted ten years, uh fifty seven of

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Speaker 1: the women of the seventy women who experienced both hot

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Speaker 1: flashes and depressive symptoms. Of the women expressed experience the

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Speaker 1: depressive symptoms first, experience the hot flashes first, so that

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Speaker 1: the symptoms emerge concurrently. So again, something's going. I mean, granted,

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Speaker 1: if you're having these really extreme hot flashes, I can

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Speaker 1: see how that brings depression on. But with women saying

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Speaker 1: they experienced the depressive symptoms first and nearly a quarter

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Speaker 1: saying that they happen at the same time, there's something

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Speaker 1: linked there. And you know, we always talk about hormones

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Speaker 1: or this mysterious thing that researchers can't quite figure out.

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Speaker 1: But this is another example of how, you know, doctors

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Speaker 1: and researchers aren't sure what's causing what, how they can

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Speaker 1: treat one and treat the other. It's it's very interesting

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Speaker 1: to see how they're unraveling these connections in the body.

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Speaker 1: And a recent study on the effect of the antidepressant

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Speaker 1: Lexapro on relieving hot flashes had a very interesting result

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Speaker 1: um that says a lot about this potential mind body

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Speaker 1: connection with with menopause. Uh. The researchers had one group

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Speaker 1: of study participants take the Lexepro for hot flashes, and

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Speaker 1: they gave the other group a placebo. Now, while the

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Speaker 1: study participants were taking their placebo or alexi Pro, about

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Speaker 1: the people on luxe Pro experienced a decreased by at

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Speaker 1: least half of hot flash frequency. And then for the

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Speaker 1: folks taking the placebo, about thirty of the women experienced

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Speaker 1: hot flash relief. But after they stopped taking their placebo

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Speaker 1: or the Lexapro, the women who had just been taking

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Speaker 1: the lexi Pro immediately experienced a resurgence in hot flashes. However,

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Speaker 1: the people who are taking the placebo pills continue to

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Speaker 1: have the lowered incidence rate of hot flashes. Right, really

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Speaker 1: interesting that maybe the mind can work some magic over

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Speaker 1: the body control these kinds of hot flashes. Although I'm

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Speaker 1: sure the amy woman who's had a hot flash says,

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Speaker 1: this is not in my mind, and if I could

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Speaker 1: control it with my mind, I would, right. But this

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Speaker 1: study is really interesting because antidepressants are one of the

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Speaker 1: main and therapy is being considered right now for hot flashes,

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Speaker 1: and to go back to Christian's uh pointing out that

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Speaker 1: these can last for more than five years. I mean,

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Speaker 1: to be on an antidepressant for five years is a

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Speaker 1: really scary prospect to some women. And that's I mean,

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Speaker 1: that's sort of what you have to weigh against these

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Speaker 1: odds when you consider some of the therapies available. For example,

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Speaker 1: one of the main therapies for some women who are

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Speaker 1: candidates for it is hormone replacement therapy. But because of

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Speaker 1: this landmark study that linked hormone replacement therapy with an

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Speaker 1: increase of rate of heart disease, stroke, blood clots, hormone

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Speaker 1: replacement therapy is only an option. You know, they tell

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Speaker 1: you to be on the lowest possible dose for the

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Speaker 1: shortest amount of time possible. So when you're thinking of

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Speaker 1: you know, you really can't do that for five years,

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Speaker 1: how are we going to deal with these hot flashes?

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Speaker 1: A lot of women don't deal with them. It's you

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Speaker 1: don't have to get treatment for them if they're not

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Speaker 1: affecting your life. So after the controversy surrounding hormone replacement therapy,

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Speaker 1: the market for natural remedies for hot flashes and other

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Speaker 1: menopausal symptoms have skyrocketed. There is an article in the

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Speaker 1: New York Times from two thousand nine reporting that, uh,

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Speaker 1: the market grew from two hundred and eleven million and

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Speaker 1: ninety nine to three hundred and thirty nine million dollars

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Speaker 1: in two thousand seven. And this is just for dietary

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Speaker 1: supplements associated with menopause. And a lot of those dietary

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Speaker 1: supplements will involve things like soy and red clover that

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Speaker 1: are supposed to sort of I guess performed the same

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Speaker 1: type of role as the estrogen replacement. And another one

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Speaker 1: that you'll see is black co hosh. And you know,

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Speaker 1: we have an article on our site Kristin called how

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Speaker 1: to Treat menopause with a rooman Therapy. So if you're

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Speaker 1: looking for another natural option, according to Kathy Hivill, essential

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Speaker 1: oils ease hot flashes included clary sage, lemon, and peppermint. Yeah,

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Speaker 1: especially geraniums. The essential oils from geraniums supposed to be

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Speaker 1: very relieving. But the fact that so many things can

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Speaker 1: start competing for our attention in this treatment spectrum when

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Speaker 1: we really don't even know of a full proof method

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Speaker 1: to treat things is you know, it's telling it's another

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Speaker 1: one of these conditions that affect women that uh, doctors

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Speaker 1: haven't quite figured out yet and don't know exactly how

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Speaker 1: to treat. And that maybe why so many women don't

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Speaker 1: report hot flashes to their doctor or don't seek treatment

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Speaker 1: for them in any way. But women are not we

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Speaker 1: should mention the only people who can experience hot flashes exactly.

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Speaker 1: Although we tend to associate hot flashes with menopausal women,

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Speaker 1: guess what, men, you can get them too. And a

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Speaker 1: lot of times men who get hot flashes are those

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Speaker 1: who have gone through prostate cancer or have had their

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Speaker 1: prostate removed for some reason. Because like the drop in

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Speaker 1: estrogen that triggers the hypothalmus going haywire and then setting

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Speaker 1: off the hot flashes and men, drops in testosterone will

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Speaker 1: also interfere with the hypothalamus and cause a similar effect

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Speaker 1: with body temperature. But process cancer is not the only

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Speaker 1: thing linked to hot flashes and men. A number of

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Speaker 1: conditions can also cause them, including hyperthyroidism, low blood sugar,

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Speaker 1: and hypoglycemia. And you know, menopausal women are not the

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Speaker 1: only women who have hot flashes either. About one and

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Speaker 1: one women will start experiencing the symptoms of menopause before

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Speaker 1: age forty, and this has linked to a condition called

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Speaker 1: primary O variant insufficiency or p o I, and it's

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Speaker 1: not not very common, but it's worth talking to your

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Speaker 1: doctor about. Other symptoms of this condition include irregular periods

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Speaker 1: because what will eventually happen with p o I s

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Speaker 1: you're usually rendered infertile and then you become at risk

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Speaker 1: for bone fractors and heart disease, which is why it's

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Speaker 1: important to start talking to your doctor about it. Um

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Speaker 1: And so women who experienced those really early onset symptoms

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Speaker 1: may have that condition. Now. The National Institutes of Health

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Speaker 1: noted that this used to be your or two as

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Speaker 1: premature menopause or premature ovarian failure, but research has since

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Speaker 1: shown that ovarian function is unpredictable a lot of times

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Speaker 1: in these women, and sometimes it can turn off, but

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Speaker 1: then also turn on and you will go um go

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Speaker 1: on to produce eggs. So menopause not the only thing

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Speaker 1: that can cause a hot flash, though. Se of women

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Speaker 1: going through a menopause do experience them, and like we said,

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Speaker 1: the treatment ranges from doing nothing and just trying to

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Speaker 1: alleviate environmental factors, you know, keeping the air conditioning on

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Speaker 1: even when it's winter. That that can be you know,

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Speaker 1: a simple fix breathing exercises to relax your body and

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Speaker 1: not eating spicy food or smoking if those are triggers.

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Speaker 1: But we want to hear from our listeners about what

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Speaker 1: has worked for you. I mean, we can read a

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Speaker 1: dozen articles that talk about wearing loose fitting clothing to

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Speaker 1: beds so you don't have a hot flash that wakes

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Speaker 1: you up. But we want to know what worked for you.

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Speaker 1: So email us at mom stuff at house stuffwork dot

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Speaker 1: com and we will share with everyone else your menopause

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Speaker 1: hot flash tips. So well. In the meantime, I've got

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Speaker 1: an email here from Helena and this is in response

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Speaker 1: to our recent podcast on lying, and she says, I

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Speaker 1: actually paused the podcast to write this to you and

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Speaker 1: your podcast online. You say that people generally don't tell

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Speaker 1: lies about themselves that would make themselves look worse. However,

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Speaker 1: I've noticed, much to my dismay, that I've told lies

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Speaker 1: about my grades in college. I was the kid messing

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Speaker 1: up your curb. What can I say? Linear algebra just

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Speaker 1: spoke to me. I was good at it. Nonetheless, you'd

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Speaker 1: never catch me admitting it. When a group of fellow

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Speaker 1: students approached me to ask if I was the one

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Speaker 1: who got the A plus on the last test, I

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Speaker 1: deny it. When the professor would ask me how I

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Speaker 1: had gotten a certain answer to a difficult problem, I

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Speaker 1: shrugged it off as a lucky guest and made a

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Speaker 1: self deprecating joke to deflect attention. I was math girl,

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Speaker 1: but I guarded my secret identity like Clark Kent years later.

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Speaker 1: Looking back, I'm very annoyed at young math girl. People

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Speaker 1: will still like you if you smart, little math girl. Boys,

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Speaker 1: We'll still ask you out, girls will still want to

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Speaker 1: be your friend. Lies to downplay your intellect are silly. Indeed,

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Speaker 1: I think we've all been guilty of that every now

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Speaker 1: and then. I sure hope the math girl superhero takes off.

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Speaker 1: Do you ever lie about podcast girl Molly? Of course not.

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Speaker 1: Would never lie about this sacred space between us. If

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Speaker 1: you've got something to tell us, hopefully not a lie,

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Speaker 1: because we treasure your honesty's right, send us an email.

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Speaker 1: The email addresses mom Stuff at how stuff works dot com.

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Speaker 1: You can also follow us at Facebook and on Twitter.

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Speaker 1: We try and post fun things there frequently, and we

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Speaker 1: also try to post our blog. It's called Stuff I've

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Speaker 1: Never Told You, and it's it has stuff works dot

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Speaker 1: com for moralness and thousands of other topics. Visit how

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Speaker 1: stuff works dot com to learn more about the podcast,

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Speaker 1: golok on the podcast icon in the upper right corner

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Speaker 1: of our homepage. The how Stuff Works iPhone app has

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Speaker 1: a ride. Download it today on iTunes. Yeah Yeah, brought

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Speaker 1: to you by the reinvented two thousand twelve Camry. It's ready,

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Speaker 1: are you