Do hot flashes and flushes during menopause require treatment?

Whether menopausal hot flashes and night sweats require treatment mainly depends on the severity of symptoms and their impact on quality of life. If the symptoms are mild and do not interfere with daily activities, specific treatment is generally unnecessary, as these are common self-limiting physiological changes during menopause that may resolve spontaneously over time. However, if symptoms are severe—for example, occurring frequently, lasting for prolonged durations, and significantly affecting quality of life—treatment should be considered. Treatment options include pharmacological therapies (such as hormone replacement therapy, antidepressants), non-pharmacological therapies (e.g., acupuncture, massage), and lifestyle modifications (such as reducing caffeine intake, balanced diet, appropriate exercise). Decisions regarding treatment for menopausal hot flashes and night sweats should be individualized, and consultation with a physician for professional evaluation and management is recommended when necessary.