Abstract
Hot flushes are probably the most common symptom resulting in medical consultation in relation to the menopause. The association between the two is so strong that the connection is often invoked even when hot flushes occur in a regularly menstruating woman. Oestrogen significantly reduces hot flushes but is not used by all women—either because of contraindications or a reluctance to take oestrogen-based therapy. In addition, hot flushes may persist in spite of adequate oestrogen replacement, and physicians are often faced with the dilemma of finding something instead of, or in addition to, oestrogen for symptom relief. The available alternatives for the management of hot flushes are reviewed.
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