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Case-control study, 1996

What is linked to hot flushes during midlife and menopause?

Hot flushes are linked to higher FSH levels, lower estradiol, and a history of premenstrual complaints. They become increasingly common as women approach and pass their final menstrual period.

Moderate study design 453 women aged 48-59 at different stages of menopause (pre-, peri-, and postmenopausal).

What they did

Population-based study of 453 women aged 48-59. Researchers conducted interviews in their homes and measured hormone levels (FSH and estradiol), menstrual status, history of premenstrual complaints, and lifestyle factors.

What they found

13% of premenopausal, 37% of perimenopausal, and 62% of postmenopausal women reported hot flushes in the previous 2 weeks. Women with hot flushes had higher FSH and lower estradiol. Perimenopausal women with hot flushes were more likely to have reported premenstrual complaints 3 years earlier.

What it means for you

Hot flushes are most common as women move through menopause, and women who had premenstrual complaints earlier are more likely to experience them. This is a real-world population study but observational, so we cannot conclude that early premenstrual complaints cause later hot flushes.

453

women studied

62%

postmenopausal women with hot flushes

37%

perimenopausal women with hot flushes

About the study

Original title
Hot flushes, menstrual status, and hormone levels in a population-based sample of midlife women
Authors
Guthrie JR, Dennerstein L, Hopper JL et al.
Journal
Obstetrics and gynecology
Year
1996
Study design
Case-control study
Participants
453
What was tested
None - this was an observational study

Topics