Thank you for your question! There are some common triggers for heat rush such as drinking alcohol products containing caffeine spicy foods,smoking or being exposed to smoke stress or anxiety tight clothes. There are some certain herbal products which can help. I recommend my patients have soy products and evening primrose oil, which usually bring a relief after 2 months. Also I prescribe estrogen supplements together with progestin to avoid risk of endometrial cancer. I recommend them for a period of 3-6 months till 1 year. In very severe cases I give a prescribtion of Gabapentin or antidepressants. In your case I would suggest beginning with herbal medication combined with acupuncture as it reduce stress levels and also avoid the trigger factors mentioned above. If the situation doesn`t clear up you can start with hormonal therapy replacement or prescribtion medication which you have to talk with your Physician. If anything is unclear to you please feel free to contact me. Thank you again for the question!