Meet the Super Flasher: Some Menopausal Women Suffer Years of Hot Flashes – New York Times (blog)

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Credit Kim Murton

What type of hot flasher are you?

The hot flash — that sudden feeling of warmth that can easily leave a woman flushed and drenched in sweat — has actually long been considered the defining symptom of menopause. Yet brand-new research shows that the timing and duration of hot flashes can easily vary significantly from woman towards woman, and that women appear towards fall evenly in to four hot-flash categories.

Some women, called “early onset” hot flashers, start towards experience hot flashes long prior to menopause. Symptoms can easily start 5 towards 10 years prior to a woman’s last period, Yet the symptoms protect against about the time of the last menstrual cycle.

Then there are women that don’t experience their initial hot flash until after their last menstrual period, the “late onset” hot flasher. And some women fall in to a group the researchers called the “lucky few.” Several of these women never ever experience a single hot flash, whereas others briefly suffer just a couple of flashes near the end of the menopausal transition.

And After that there are the “super flashers.” This unlucky group entails one in four midlife women. The super flasher begins towards experience hot flashes relatively early in life, similar towards the early onset group. Yet her symptoms keep on well past menopause, enjoy those in the late onset group. Her symptoms can easily last 15 years or more.

The findings come from the Study of Women’s Good health Across the Nation, or SWAN, a 22-year-old study that has actually been tracking the physical, biological and psychological Good health of 3,302 women from a number of racial and ethnic backgrounds. The study is being conducted at seven research centers about the country and is paid for by the National Institutes of Health.

“It explodes our normal myth about hot flashes, that they merely last for a couple of years and everyone follows the exact same pattern,” said Rebecca Thurston, senior author and a psychiatry professor and epidemiologist at the University of Pittsburgh. “We could be able towards much better insight women once we already know in Exactly what category they are a lot more most likely towards fall.”

That entails women enjoy Lynn Moran, a 70-year-old retired financial assistant that lives near Pittsburgh and falls in to the “super flasher” category. She remembers having her initial hot flash about the age of 47. While the symptoms were subtle at first, the hot flashes became a lot more bothersome. “It was enough towards wake me up from a sound sleep,” she said. “I wasn’t sleeping well due to the fact that they were coming all of night long and throughout the day. I was miserable.”

Ms. Moran began hormone therapy, which helped Yet did not do away with the symptoms. Yet as soon as medical studies began towards prove to Good health risks associated along with the treatment, her doctor advised her towards protect against using hormones. She waited yet another 18 months until she retired, After that stopped taking hormones in 2005.

The hot flashes “came spine along with a vengeance” and haven’t stopped since.

“I still have actually them. I still laugh concerning them,” she said, noting that she might experience several hot flashes a day. “I’ll be attempting towards grab prepared towards go somewhere, curling my hair and have actually towards redo every little thing and dry my hair again due to the fact that I’ll be drenched. My makeup will certainly literally run down my face. listed here I am, 70 years old, complaining of hot flashes.”

Dr. Thurston notes that learning variations on hot flashes is necessary towards learning women’s Good health in midlife. Several studies suggest that the timing and duration of hot flashes could be an indicator of a woman’s cardio health. A 2012 study, published in the diary Obstetrics and Gynecology, discovered that regular hot flashes were associated along with better cholesterol levels markers, particularly in thin women.

The latest findings from the SWAN study identified some patterns about the four subsets of women that suffered varying degrees of hot flashes. Women were distributed concerning just as among the groups, meaning 75 percent of women suffered some degree of hot flashes, while just 25 percent escaped the symptom.

Women in the early onset group were a lot more most likely towards be white and obese. Women in the late onset group tended towards be smokers. The lucky couple of women that had no hot flashes or just a couple of were a lot more frequently Asian women and women in much better health. The super flashers were a lot more most likely towards be African-American. Women that were super flashers were most likely towards be in poorer Good health or towards continuously eat alcohol. Yet the researchers cautioned that while they identified some statistical trends in each group, it’s necessary towards note that each subset of hot flashers included a number of women representing all of races, ethnicities, physique weights and Good health categories. No one factor appeared towards identify a woman’s risk for any sort of hot flash category.

For instance, while African-American women were three times as most likely towards be in the super flashers group, they represented just 40 percent of that group. The remaining 60 percent were white women, some Asian women and others groups.

Dr. Thurston said it is necessary that doctors know that 75 percent of women have actually hot flashes in midlife and that for half of them — the late onset flashers and the super flashers — the symptoms persist well past menopause.

“It flies in the face of the traditional wisdom that women have actually these symptoms for three towards 5 years about the last menstrual period,” she said. “We now already know for most women that is patently wrong.”

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