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Hot Flashes and Night Sweats in Menopause: Causes and Natural Remedies

Sofocos y sudores nocturnos en la menopausia: causas y remedios naturales

Marta Hifas da Terra |

WHAT ARE HOT FLASHES AND WHY DO THEY OCCUR DURING THE MENOPAUSE?

Hot flashes are sudden episodes of intense heat that usually start in the face and upper chest and can spread to the rest of the body. They may be accompanied by redness, sweating, palpitations and anxiety, and end with a feeling of cold or chills. During the menopausal transition, ovarian activity decreases and oestrogen levels fluctuate before eventually falling. These changes affect the brain circuits that regulate body temperature. As a result, the temperature range that the body considers comfortable narrows, and even a slight variation can trigger an exaggerated response to dissipate heat:Hot flushes are very common, but their duration and intensity vary considerably. The Menopause Society states that they affect up to 80 per cent of women and can persist, on average, for between seven and ten years. They may begin before menstruation ceases completely and continue into post-menopause.

  • The blood vessels in the skin dilate, causing heat and redness.
  • Sweating increases to cool the body.
  • The heart rate may speed up.
  • After losing heat, chills, shivering or tremors may occur.

Hot flushes are one of the most common symptoms of the menopause and also one of the most treatable with natural support. In our comprehensive guide to perimenopause and medicinal mushrooms, we explore which specific mushroom helps with each menopausal symptom, including strategies for managing hot flushes holistically. This article focuses on the science behind how Reishi and other mushrooms can help support you during this stage.

If you want to know whether you are experiencing hot flushes, read on:

  • They usually last between one and five minutes
  • A sudden feeling of heat in the face, neck and chest.
  • Redness and sweating.
  • Palpitations or a feeling of anxiety.
  • Chills or a feeling of coldness once they subside.

NIGHT-TIME SWEATS: THE OTHER SIDE OF THE SAME SYMPTOM

Hot flushes are the result of instability in the brain’s thermoregulatory system following changes in and a decline in oestrogen levels. Environmental measures can help manage them; when they are bothersome, there are hormonal and non-hormonal treatments that should be selected on an individual basis.

If these episodes of sudden heat occur during sleep, we refer to them as night sweats; hence, hot flushes and night sweats are considered two sides of the same coin. These symptoms are responsible for causing night-time awakenings, tiredness, irritability and difficulty concentrating the following day.

WHAT SCIENCE SAYS ABOUT REISHI AND THERMOREGULATION / THE NERVOUS SYSTEM

The so-called ‘mushroom of longevity’, namely Reishi (Ganoderma lucidum), has a chemical profile that has led scientific researchers to regard it as a powerful adaptogenic substance capable of having a direct impact on the central nervous system (CNS); this may be of interest in relation to episodes of hot flushes and night sweats.

The most recent studies have shown that G. lucidum contains around 400 active biomolecules, such as beta-glucans (polysaccharides) and triterpenoids including ergosterol (provitamin D2) and ganoderic acids, omega-3 fatty acids, amino acids, vitamins and minerals, amongst others.


Beta-(1,3)-(1,6)-D-glucans, specifically amongst the beta-glucan-type polysaccharides, and triterpenes have attracted considerable attention from a medical and scientific perspective, due to their high concentration in the extract of this mushroom and their potential benefits for human health.

It contains polypeptides and triterpenes that act as precursors to neurotransmitters and endorphins. These help to elicit an appropriate response to stressful situations that may be experienced during an episode of hot flushes or night sweats.

In this regard, the published evidence also includes interesting articles on Cordyceps (which helps regulate endocrine function) and Lion’s Mane (which helps improve mood); consequently, these three pure mushrooms hold great potential for women’s health during this challenging stage.

Furthermore, new studies have been conducted on other natural substances in relation to hot flushes:

  • Green tea extract: the polyphenols in green tea may help to alleviate hot flushes and night sweats.
  • Probiotics: the inclusion of probiotic strains (such as Lactobacillus plantarum, Bifidobacterium lactis, Bifidobacterium infantis, Lactobacillus acidophilus and Bifidobacterium longum) is also being studied during the period of greatest hormonal change in women.

OTHER HABITS THAT HELP MANAGE HOT FLASHES (LAYERING CLOTHES, PLANT-BASED DIET, RELAXATION TECHNIQUES)

For mild symptoms, the MenoGuía published by the Spanish Association for the Study of the Menopause recommends: Following these guidelines may help, although their effectiveness during the hormonal changes that occur in perimenopause and menopause also depends to a large extent on genetics, each individual’s specific circumstances and the severity of the symptoms themselves.

  • Wear several light layers of clothing that can be easily removed as and when needed
  • Keep the house, particularly bedrooms, at a pleasant, cool temperature, especially at night.
  • Use a cool, damp flannel or towel on the neck during hot flushes or night sweats.
  • Cut down on very hot drinks. At this point, it is important to note whether coffee, tea or alcohol act as triggers, as many women have reported this. If so, avoid them as much as possible.
  • Do not smoke. Smoking is associated with more frequent or intense hot flushes.
  • Respect your circadian rhythms as much as possible by maintaining regular bedtimes and wake-up times.
  • Avoid caffeine and other stimulants from the evening onwards and do not consume alcohol.
  • Maintain physical activity to prevent the onset of other symptoms. This not only helps to cope with and alleviate metabolic changes, but also acts on the central nervous system by balancing mood.

HOW TO INCORPORATE REISHI (FORM, RECOMMENDED DOSAGE, TIME OF DAY)

Reishi is a mushroom used in traditional medicine. Thanks to early medical texts and oral tradition, we now know that it was consumed as an infusion to maximise the benefits of its compounds. It is a woody species, so cooking it is not a suitable method of consumption. As scientists, thanks to advances in biotechnology, we have managed, on the one hand, to optimise its production, achieving the highest possible concentration of the active biomolecules of interest following the selection of the best strains. Furthermore, after obtaining the fruiting body (the fruit of the mushroom), we have managed to develop its consumption (from infusion to extract) using advanced laboratory techniques, from which we obtain a highly concentrated extract.

At Hifas da Terra, we have been researching mushrooms for over 25 years and optimising their production processes and the extraction of their active biomolecules through our R&D&I projects. As a result, we are now one of the leading biotechnology companies in the development of dietary supplements based on fungi such as Reishi, Lion’s Mane and Cordyceps – species with a long tradition in Eastern medicine that are gradually gaining recognition in modern science thanks to the constant publication of related scientific advances.

The extract, the most concentrated form of Reishi on the market, is available in solid form (you can take it as capsules) or liquid form (as drops or syrups).

Reishi is often combined with other natural substances, such as other adaptogenic mushrooms, vitamins, minerals and botanicals like green tea, gotu kola, etc., to harness the potential of these combinations.

 


Preguntas frecuentes

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Hot flushes do not usually last for just a few months. The longitudinal SWAN study found a median duration of 7.4 years for frequent vasomotor symptoms and a median persistence of 4.5 years after the final menstrual period. When they begin during premenopause or early perimenopause, they can persist for more than 11 years. By contrast, when they begin after menopause, they tend to last for a shorter period. The individual course varies considerably: some women experience them for a few months, while others have them for more than a decade.

The evidence on Reishi and hot flushes is promising but limited. Some preclinical studies suggest that its components may modulate relevant neural pathways, but there are still no robust clinical trials in menopausal women demonstrating a significant reduction in hot flushes. It may therefore be useful as part of a comprehensive approach, but it should not be considered a substitute for options with stronger scientific support, such as systemic menopausal hormone therapy (MHT), menopause-specific cognitive behavioural therapy (CBT) or clinical hypnosis.

There is no universal list. The triggers most frequently reported by some women include: - Alcohol - Coffee and other caffeinated drinks - Spicy foods - Very hot foods or drinks - Large meals, especially close to bedtime However, studies do not show that avoiding these triggers reduces hot flushes in all women.

Night-time hot flushes are the same vasomotor phenomenon, but they occur during sleep and are known as night sweats. They may feel more intense for several reasons: - Body temperature and its regulation change according to circadian rhythms - The bedroom environment, nightwear and bedding can make it more difficult for the body to lose heat - Sweating can build up before the person wakes up - Each episode can interrupt sleep and increase the feeling of tiredness the following day - After waking up, worrying about another episode may make it more difficult to fall asleep again It has not been shown that all women necessarily experience more hot flushes at night. The main difference is that night-time episodes fragment sleep and may lead to insomnia, irritability, fatigue and difficulty concentrating.

No. Between 50 and 75% of women experience vasomotor symptoms during the menopausal transition, although some cohorts place the figure at close to 80%. Other women experience very few symptoms. The frequency, severity and duration are associated with numerous factors: - The stage of the menopausal transition - Surgical menopause or menopause induced by cancer treatments - Genetic predisposition - Smoking - Obesity or greater abdominal adiposity - Stress, anxiety and depressive symptoms - Socioeconomic and environmental conditions - Ethnic and cultural differences

It is advisable to consult a healthcare professional when hot flushes or night sweats: - Repeatedly interrupt sleep - Affect work, concentration, mood or quality of life - Occur before the age of 45, especially before 40 - Begin suddenly after a long symptom-free period - Appear after starting a new medication - Are accompanied by prolonged palpitations, fainting, chest pain or difficulty breathing - Are accompanied by fever, unintentional weight loss, swollen lymph nodes, a persistent cough or drenching night sweats - Occur during or after cancer treatment

The evidence on natural products is mixed: - Soy and isoflavones: some studies report a modest reduction, while others do not. Results may depend on the dose, the preparation used and an individual's ability to metabolise isoflavones. - Black cohosh: some meta-analyses suggest a small improvement in hot flushes, but there are significant differences between extracts and studies. - Sage: some small trials report favourable results, but there are still few studies and sample sizes are limited. - Reishi and other medicinal mushrooms: more direct clinical evidence is still needed, although preliminary studies highlight their potential. Although some meta-analyses show positive signals, the variable quality of the studies, the heterogeneity of the products and the lack of long-term safety data prevent a general recommendation from being made. Among non-pharmacological interventions, menopause-specific cognitive behavioural therapy and clinical hypnosis have considerably stronger scientific support. They are not "natural remedies" in the strict sense, but they avoid the use of medication and are recommended by medical societies.

Diet may have an influence, but direct evidence is limited. It is useful to distinguish between three aspects: 1) Individual triggers: alcohol, caffeine, spicy foods and hot drinks may trigger episodes in some women, but not in all. 2) Overall dietary pattern: a Mediterranean or predominantly plant-based diet improves cardiovascular risk factors, weight and metabolic health during menopause; however, it has not yet been consistently shown to reduce hot flushes on its own. 3) Body weight: excess adiposity is associated with more vasomotor symptoms, particularly at the beginning of the menopausal transition, and weight loss may reduce them in some women. A healthy dietary pattern should prioritise vegetables, fruit, legumes, whole grains, nuts, fish and unsaturated fats, while limiting alcohol and ultra-processed foods. This type of diet is beneficial even if it does not eliminate hot flushes, as it helps reduce the cardiovascular and metabolic risks that increase after menopause.

Referencias

Clinical and reference guidelines:

1. MenoGuía sobre sofocos - Asociación Española para el Estudio de la Menopausia (AEEM)https://aeem.es/wp-content/uploads/2022/10/menoguiasofocos_mujeres-ilovepdf-compressed.pdf

2. The Menopause Society - Hot Flashes Educationhttps://menopause.org/patient-education/menopause-topics/hot-flashes

3. Palacios S, Fasero M, Coronado P, et al. Recomendaciones para el manejo de los síntomas vasomotores de la menopausia en la práctica clínica. Semergen. 2025;51:102597https://doi.org/10.1016/j.semerg.2024.102597

4. National Institute for Health and Care Excellence (NICE). Menopause: identification and management (NG23). Updated April 2026.https://www.nice.org.uk/guidance/NG23

Estudios sobre Reishi, hongos medicinales y síntomas menopáusicos:

5. Li H, et al. Ganoderma lucidum polysaccharides ameliorated depression-like behaviors in the chronic social defeat stress depression model via modulation of Dectin-1 and the innate immune system. Brain Research Bulletin. 2021;171:16-24.https://doi.org/10.1016/j.brainresbull.2021.03.012

6. Li K, et al. The anti-fatigue and sleep-aiding effects vary significantly among different recipes containing Ganoderma lucidum extracts. Heliyon. 2024;10(1):e24318.https://doi.org/10.1016/j.heliyon.2023.e24318

7. Qiu Y, Mao ZJ, Ruan YP, et al. Exploration of the anti-insomnia mechanism of Ganoderma by central-peripheral multi-level interaction network analysis. BMC Microbiology. 2021;21(1):296.https://doi.org/10.1186/s12866-021-02345-5

8. Cui XY, et al. Extract of Ganoderma lucidum prolongs sleep time in rats. Journal of Ethnopharmacology. 2012;139(3):796-800.https://doi.org/10.1016/j.jep.2011.12.016

9. Yang Y, Zhang H, Zuo J, et al. Advances in research on the active constituents and physiological effects of Ganoderma lucidum. Biomedical Dermatology. 2019;3(6).https://doi.org/10.1186/s41702-019-0032-4

10. Kheirkhah M, Sayehmiri F, Sedighi M, et al. The effect of herbal tea capsule on menopause hot flashes. Journal of Family Medicine and Primary Care. 2018;7(5):1074-1078.https://doi.org/10.4103/jfmpc.jfmpc_332_17

Estudios epidemiológicos sobre duración y prevalencia de sofocos:

11. Avis NE, Crawford SL, Greendale G, et al. Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Internal Medicine. 2015;175(4):531-539.https://doi.org/10.1001/jamainternmed.2014.8063

12. Crandall CJ, Aragaki AK, Cauley JA, et al. Vasomotor symptom prevalence and incidence among postmenopausal women in the Women's Health Initiative Observational Study and Clinical Trial. JAMA. 2023;330(22):2175-2187.https://doi.org/10.1001/jama.2023.22693

Studies on dietary patterns and hot flushes:

13. Yelland S, Steenson S, Creedon A, et al. The role of diet in managing menopausal symptoms: A narrative review. Nutrition Bulletin. 2023;48(1):43-65.https://doi.org/10.1111/nbu.12607

14. Goncalves C, Moreira H, Santos R. Systematic review of mediterranean diet interventions in menopausal women. AIMS Public Health. 2024;11(1):110-129.https://doi.org/10.3934/publichealth.2024005

Intervenciones con evidencia de eficacia:

15. National Center for Complementary and Integrative Health (NCCIH). Cognitive Behavioral Therapy for Hot Flashes - Clinical Evidence Summary.https://www.nccih.nih.gov/health/providers/digest/cognitive-behavioral-therapy-scientific-research

16. Thorne Research. Monograph: Ganoderma lucidum (Reishi).https://www.thorne.com/resources/knowledge-base