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Q. What is a safe home remedy for severe night sweats and hot flashes? I am burning up and sleepless.
A. There are enough alternatives that you should be able to tailor something that will work for you. The first step is to keep your bedroom cool. Make sure you exercise regularly. Research shows that active women have less trouble with hot flashes. Herbal products such as Pycnogenol (pine bark extract), Remifemin (black cohosh extract) or St. John's wort (hypericum extract) may be helpful (Menopause, Feb. 2010).
We are sending you our Guide to Menopause, with a discussion of prescription products as well as numerous nondrug approaches for these symptoms.

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good research also supports the use of hypnosis/self-hypnosis for relief of hot flashes in women. In my experience , hypnosis also helps men whose chemistry is unbalanced by cancer therapy , causing hot flashes. bob dick,PhD
I just want follow up on the comments.
Quite by accident, I discovered that I have food triggers for my night sweats and hot flashes (I tried a low-carbohydrate diet). My primary trigger is white flour, in any form or combination. Whether as a secondary ingredient in "whole-wheat" bread and pasta or in cakes, pie crusts, croutons, or breading for any fried food. Additionally alcohol is another substantial trigger. I can drink white wine but not grain alcohol. Combining white flour and wine (wine with a meal and a dessert containing flour) will increase the severity and duration of my sleepless agony.
I have always taken good care of myself, exercise, diet etc. as I approached menopause and experienced hot flashes and night sweats. I continued to take my daily multi-vitamin along with calcium and Vitamin D supplements. I also added a daily fish oil supplement.
My hot flashes and night sweats disappeared. I thought that this may have been a freak occurrence so I quit the fish oil supplement and they returned with a vengeance. Once I started taking the fish oil supplement again they disappeared again. I wonder if I have stumbled onto something?
It is working for me at this time, maybe it can help someone else.
Last winter while on vacation in the Pacific Northwest I found myself waking up in the middle of the night extremely hot. I tried all sorts of things: flinging off the sheets, summer night gowns, and still I would wake up at about 2AM extremely hot. When we returned home to Saudi Arabia I started using a fan on my side of the bed, but I would still wake up hot. Then one night I remembered that I had gel packs in the freezer and thought, "Why not give them a try?".
So I would wrap a frozen gel pack in a pillow case and place it beside me. It kept me cool. When I would wake up and find the gel pack warm (because of me), I would get up and exchange packs. I would immediately go back to sleep, cool and comfortable. The frozen gel packs did not stop the heat, but they made sleeping more comfortable.
White flour, same trigger!!! Sometimes, red wine... thought it was the sulfites.
What triggers it for me seems to be sugar, sugar in anything but candy mostly. I don't eat white flour so that can't be it or drink. I take fish oil so that doesn't help. I sure am getting tired of the sweats mostly at night.
I to take fish oil so I know it doesn't work. IF ANYONE HAS AN IDEA PLEASE LET ME KNOW. I use fans and wear as little to bed as possible, that helps.
My ob/gyn told me about Estroven. I have been taking it for two months now. The hot flashes stopped after one week. It was a great relief.
Have been taking Fish Oil 1200 mg daily for the past three weeks and have noticed a significant reduction in hot flashes. Prior to this, was having hot flashes multiple times a day and waking up a couple times a night. I am very pleased with the results!