@ardillo46 Welcome to Mayo Connect. How did you find us? Any way, but we are glad you're here!

I have had hot flashes all my life. Not so sure they aren't related to thyroid or adrenal or pituitary, or a combination of all! After my hysterectomy in 1999, I have continued to have them, but have had no hormone replacement therapy. I dress for a hot flash most of the time, and bring extra layers. Drink cool liquids. Hand fans as needed. Cooled fruits.

Seeing you are at the age range for perimenopause, my suggestion would be a complete physical and bloodwork to see exactly where you are at. Your trusted medical team would be the best source for how to proceed from there, based on results and any other health concerns. Be patient, as it takes time for your body to make changes. Not what you want to hear, right?

Will you let us know what you decide, and how we can help you further, please?
Ginger