Hot Flashes

What Causes Hot Flashes?

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.

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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:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "hot flashes" as a symptom.  Here are six possibilities:
  • Low Progesterone
  • Hyperthyroidism
  • Adrenal Fatigue
  • Perimenopause
  • Chronic Fatigue-Fibromyalgia
  • Low Estrogens

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
poor cold weather tolerance
adult acne
short-term memory failure
history of hyperthyroidism
frequent meal-related bloating
having elevated TT4 level
muscle pains in family members
pain in cold/cool/damp weather
short-term cortisol use
history of non-vaginal candidiasis
non-human estrogen use
frequent colds/flus
... and more than 130 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of hot flashes:
Cause Probability Status
Chronic Fatigue-Fibromyalgia 97% Confirm
Low Estrogens 57% Possible
Hyperthyroidism 20% Unlikely
Low Progesterone 4% Ruled out
Perimenopause 2% Ruled out
Adrenal Fatigue 0% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate being premenopausal or being perimenopausal, The Analyst™ will ask further questions including this one:
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
Based on your response to this question, which may indicate absence of hot flashes, hot flashes during period, hot flashes between period or hot flashes during & after period, The Analyst™ will consider possibilities such as:
Low Adrenal Function / Adrenal Insufficiency

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.

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