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Friday 19 December 2025 05:00:00 GMT
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You’re sitting comfortably, then suddenly heat rises through your chest, neck and face. You’re sweating, your heart might race, and a few minutes later you feel chilly. What is actually happening during a perimenopause hot flush? It starts with the temperature control system in your brain. Your hypothalamus helps regulate body temperature, coordinating responses such as sweating and changes in blood flow. During the menopause transition, changing oestrogen signalling affects this system. A group of nerve cells called KNDy neurons, and a messenger called neurokinin B, are part of that conversation. Think of a thermostat that has become more sensitive. Your brain can trigger a cooling response much more easily. Blood vessels near the skin widen, bringing warmth to the surface. Sweat glands switch on. As that sweat evaporates, you lose heat, which helps explain why you might feel cold afterwards. At night, the same process can leave you throwing off the covers or waking with drenched clothes and sheets.  And you don’t need to have stopped having periods for this to happen. Hot flushes can begin during perimenopause. Understanding the physiology matters because it helps explain why these symptoms can feel so sudden and disruptive. In clinic, we want to understand how often they happen, how intense they are, what happens to your sleep and what else you’re experiencing. That guides the support we discuss, including nutrition, lifestyle, appropriate herbal options and conversations with your GP about hormonal or nonhormonal treatments. You don’t have to wait until you’re barely coping to ask for help. Toni, our perimenopause and menopause naturopath at Nourishing Apothecary, supports women through this transition alongside their medical care. Start with a free discovery call with Toni. Have a chat and go from there. Liverpool, Sydney and Australia wide via Zoom. www.nourishingapothecary.com #Perimenopause #HotFlushes #NightSweats #MenopauseSupport #NourishingApothecary
You’re sitting comfortably, then suddenly heat rises through your chest, neck and face. You’re sweating, your heart might race, and a few minutes later you feel chilly. What is actually happening during a perimenopause hot flush? It starts with the temperature control system in your brain. Your hypothalamus helps regulate body temperature, coordinating responses such as sweating and changes in blood flow. During the menopause transition, changing oestrogen signalling affects this system. A group of nerve cells called KNDy neurons, and a messenger called neurokinin B, are part of that conversation. Think of a thermostat that has become more sensitive. Your brain can trigger a cooling response much more easily. Blood vessels near the skin widen, bringing warmth to the surface. Sweat glands switch on. As that sweat evaporates, you lose heat, which helps explain why you might feel cold afterwards. At night, the same process can leave you throwing off the covers or waking with drenched clothes and sheets. And you don’t need to have stopped having periods for this to happen. Hot flushes can begin during perimenopause. Understanding the physiology matters because it helps explain why these symptoms can feel so sudden and disruptive. In clinic, we want to understand how often they happen, how intense they are, what happens to your sleep and what else you’re experiencing. That guides the support we discuss, including nutrition, lifestyle, appropriate herbal options and conversations with your GP about hormonal or nonhormonal treatments. You don’t have to wait until you’re barely coping to ask for help. Toni, our perimenopause and menopause naturopath at Nourishing Apothecary, supports women through this transition alongside their medical care. Start with a free discovery call with Toni. Have a chat and go from there. Liverpool, Sydney and Australia wide via Zoom. www.nourishingapothecary.com #Perimenopause #HotFlushes #NightSweats #MenopauseSupport #NourishingApothecary

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