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From acupuncture to peppermint oil, there are a wide range of natural, evidence-based alternatives to drugs for alleviating hot flashes
Hot flashes are most often associated with menopause. But breast cancer survivors can have particularly severe and frequent flashes when chemotherapy or surgery sends them into premature menopause.
Many women find relief with hormone replacement therapy (HRT). But breast cancer survivors aren't candidates for HRT because of concerns that estrogen promotes breast cancer.
Researchers at the Perelman School of Medicine at the University of Pennsylvania investigated the efficacy of acupuncture to relieve hot flashes. They compared acupuncture to the epilepsy drug gabapentin, which was previously shown to reduce hot flashes in breast cancer patients.
Their results are published in the Journal of Clinical Oncology.[i] They found that acupuncture is a viable treatment for hot flashes in breast cancer patients and is more effective than gabapentin.
In the study, 120 breast cancer survivors with multiple daily hot flashes were randomized into four groups. One group received electroacupuncture (in which needles deliver weak electrical currents) twice a week for two weeks, then once a week. A second group received "sham" electroacupuncture.
The third and fourth groups received 900 mg of gabapentin a day or a placebo pill.
After eight weeks of treatment, the acupuncture group showed the greatest improvement in hot flash frequency and severity. In fact, even the sham acupuncture group found more relief than the drug or placebo groups.
After 16 weeks the acupuncture groups reported even more abatement of their hot flashes. But the drug group reported a worsening of symptoms.
The lead author was quoted as saying:
"Acupuncture is an exotic therapy, elicits the patient's active participation, and involves a greater patient-provider interaction, compared with taking a pill. Importantly, the results of this trial show that even sham acupuncture -- which is effectively a placebo -- is more effective than medications. The placebo effect is often dismissed as noise, but these results suggest we should be taking a closer look at how we can best harness it."
The researchers noted that acupuncture is more than a placebo and may work by boosting blood levels of endorphins and related painkilling, mood-elevating molecules.
Hot flashes are brief episodes of flushing, sweating, racing heartbeat and sensations of heat. They can last for a minute or for an hour. Some women experience the flashes for a short time during menopause while others have them for the rest of their lives.
Precisely how hot flashes arise isn't known, though they are closely associated with decreased estrogen levels. Many doctors believe that too many stress hormones exacerbate the flashes.
11 More Natural Ways To Cool Hot Flashes
1. Yoga. Studies show yoga may be effective in managing hot flashes and night sweats.[ii]
2. Meditation. Mindfulness based stress reduction practices were shown to reduce hot flashes by 22% after 20 weeks. [iii]
3. Peppermint oil. Putting a drop of peppermint essential oil on the back of your neck can quickly cool a hot flash.
5. Avoid Trigger Foods. Caffeine, spicy foods and alcohol are all heat-producing substances that contribute to hot flashes. Instead, try cooling foods like melon, bean sprouts, celery, apples, asparagus and grapes.
6. Buy Organic. Most meat and dairy in your supermarket comes from animals treated with hormones that may compound an estrogen imbalance. Stick with hormone-free organic meat and dairy.
7. Eat More Flax Seeds. Many fruits and vegetables contain weak plant estrogens called phytoestrogens. They bind to estrogen receptors and have an estrogenic effect if your estrogen levels are too low. They also block stronger estrogens if your levels are too high. Common foods with phytoestrogens include blueberries, cherries, cranberries, carrots, bananas, beets, oranges, onions, peppers, oats, plums, olives and potatoes. Flax seeds have particularly strong phytoestrogens. One study showed eating 40 grams a day of flax seeds reduce hot flashes by 50% and severity by 57%. Flax seeds also beat HRT for menopause symptoms.
8. Black Cohosh. This relative of the buttercup is among the most popular natural remedies for hot flashes and the most studied. One meta-analysis proves black cohosh is effective for reducing hot flashes.
9. Red Clover. Red clover contains a type of phytoestrogen called isoflavones. Netherland researchers found that 80 mg of red clover a day reduced hot flashes by 44% in 30 menopausal women.[iv]
10. Evening Primrose Oil. A six week randomized trial found that 500 mg of evening primrose oil a day reduced hot flash frequency by 39%, hot flash severity by 42%, and hot flash duration by 19%.[v]
11. Drop Some Weight. Researchers at the University of California, San Francisco studied 338 women with an average age of 53 who were overweight or obese and half of whom reported bothersome hot flashes. They found that decreases in weight, body mass index (BMI) and abdominal circumference were each associated with improvement in self-reported hot flashes over a period of six months.[vi]
For more information visit Green Med Info's page on hot flashes.
Originally published: 2016-01-15
Article updated: 2019-10-30
[i] J. J. Mao, M. A. Bowman, S. X. Xie, D. Bruner, A. DeMichele, J. T. Farrar. "Electroacupuncture Versus Gabapentin for Hot Flashes Among Breast Cancer Survivors: A Randomized Placebo-Controlled Trial." Journal of Clinical Oncology, 2015; DOI: 10.1200/JCO.2015.60.9412
[ii] Vaze N, Joshi S. "Yoga and menopausal transition." Journal of Mid-Life Health. 2010;1(2):56-58.
[iv] Van de Weijer, P., & Barentsen, R. 2002. Isoflavones from red clover (Promensil) significantly reduce menopausal hot flush symptoms compared with placebo. Maturitas, 42 (3), 187–193. https://www.ncbi.nlm.nih.gov/pubmed/12161042
[v] Farah Farzaneh, Setareh Fatehi, Mohammad-Reza Sohrabi, Kamyab Alizadeh. "The effect of oral evening primrose oil on menopausal hot flashes: a randomized clinical trial." Arch Gynecol Obstet. 2013 Nov;288(5):1075-9. Epub 2013 Apr 27. PMID: 23625331
[vi] Alison J. Huang; Leslee L. Subak; Rena Wing; Delia Smith West; Alexandra L. Hernandez; Judy Macer; Deborah Grady; for the Program to Reduce Incontinence by Diet and Exercise Investigators. An Intensive Behavioral Weight Loss Intervention and Hot Flushes in Women. Arch Intern Med, 2010; 170 (13): 1161-1167.