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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes hot flashes, depression and anxiety during menopause?

Hello This is Shelly I have a question that s been on my mind for some time. I am 47yrs old back in 2010 I started experiencing menopause hot flashes really bad in the morning,now ive gained some weight., I feel depressed,brain fog. I use to have a very high metablosism but not no more. My hair is thinny really bad,my anxiety can be very high sometimes, I feel stressed all the time. Throid problems run on my familys side. I really can use some BEST ADVICE to solve this problem. My daughter thinks there something wrong with my throids or imbalance on my hormones. Shelly
Thu, 26 Feb 2015
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General & Family Physician 's  Response
welcome to HCM
This is Dr Amit. Hot flashes are mostly caused by the hormonal changes of menopause. As the estrogen level falls it has a direct effect on the hypothalamus the part of the brain responsible for controlling our appetite, sleep cycles, sex hormones, and body temperature.
So the drop in estrogen confuses the hypothalamus and causes hot flushes and other effects of menopause like anxiety, depression and lack of interest in sex. It has nothing to do with thyroid hormones.
To prevent hot flushes, consider avoiding these triggers:
1.Stress,Caffeine,Alcohol,Spicy foods etc
2.Stay cool and do deep breathing.
3.Talk to your doctor about taking HORMONE REPLACEMENT THERAPY (HRT). This treatment prevents hot flushes in many women. In addition, it can help other symptoms of menopause, including vaginal dryness and mood disorders.
Hope i have given satisfactory answers to your questions.
Feel free to ask if you have any query
Regards
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