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There has been some misunderstanding about this topic. Technically, Vaso-motor Symptoms (VMS), commonly known as "hot flashes" is a symptom of primary estrogen failure--in other words, active menopause. Estrogen is unique among the 17-keto steroids (estrogen, progesterone and testotsterone, among a few others) in that symptoms of estrogen deficiency are evoked in **minutes**. For example, a woman who just had a complete hysterectomy (including ovaries) must leave the recovery room wearing an estrogen patch or she will go in to menopausal hot flashes before she even gets back to her room. It happens right away. That is why women get the sudden off-and-on onset of sweats and hot flashes as the ovaries go through their "death throes." Sustained bouts of ovarian failure in this fashion, along with elevated FSH and LH (as the pituitary tries to flog more estrogen out of the failing ovaries) is what signals actual menopause. Eventually, the woman's body re establishes homeostasis, and the body ajdusts to life without estrogen. There are therapies for that, but that is another subject. Pre-menopause on the other hand, is more poorly defined. (note: author is a pharmacist)

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14y ago
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13y ago

No, it is possible to go through menopause without hot flashes.

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Q: Can a woman who is in menopause still have hot flashes..I thought this was a pre-menopausal symptom?
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