Hot flashes can have various causes, ranging in severity from 'worrying' to 'very serious'. Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.
Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms. In order to diagnose hot flashes, we could:
pear-shaped body when overweight
chronic thyroiditis
mild morning stiffness
short-term cortisol use
sexual abuse during childhood
muscle pains in family members
irritated eyes
minor health decline
fatigue for over 3 months
craving for salt
darker/redder skin color
possibly jaundiced skin| Cause | Probability | Status |
|---|---|---|
| Perimenopause | 92% | Confirm |
| Hyperthyroidism | 53% | Possible |
| Low Estrogens | 20% | Unlikely |
| Adrenal Fatigue | 4% | Ruled out |
| Low Progesterone | 2% | Ruled out |
| Chronic Fatigue-Fibromyalgia | 1% | Ruled out |
|
Do you experience hot flashes and, if so, when do they occur?
Possible responses:
→ Not applicable / don't know→ No, I do not experience hot flashes → Yes, during or around time of period only → Yes, between periods only → Yes, both during and between periods |
Adrenal estrogen seems to be necessary to avoid hot flashes during normal menses when the ovarian production of estrogen drops. Hot flashes during menses may be a symptom of mild adrenal cortex deficiency.