So my hot flashes are definitely stronger. They vary but sometimes I’ll actually drip sweat when one hits. I have a fan I got from Amazon that helps when I’m in public and at home I just get in front of a big fan. Overall, not that big of a deal. Just have to make sure I have my fan when I leave the house. What I like is the fan is rechargeable so not having to buy batteries. I had my hysterectomy in September.