Menopausal Hot Flashes: A Review of Physiology and Biosociocultural Perspective on Methods of Assessment Original paper

Researched by:

  • Divine Aleru ID
    Divine Aleru

    User avatarI am a biochemist with a deep curiosity for the human microbiome and how it shapes human health, and I enjoy making microbiome science more accessible through research and writing. With 2 years experience in microbiome research, I have curated microbiome studies, analyzed microbial signatures, and now focus on interventions as a Microbiome Signatures and Interventions Research Coordinator.

    Read More

July 19, 2025

  • Women’s Health
    Women’s Health

    Women’s health, a vital aspect of medical science, encompasses various conditions unique to women’s physiological makeup. Historically, women were often excluded from clinical research, leading to a gap in understanding the intricacies of women’s health needs. However, recent advancements have highlighted the significant role that the microbiome plays in these conditions, offering new insights and potential therapies. MicrobiomeSignatures.com is at the forefront of exploring the microbiome signature of each of these conditions to unravel the etiology of these diseases and develop targeted microbiome therapies.

  • Menopause
    Menopause

    Menopause impacts many aspects of health, including the gut microbiome, weight management, and hormone balance. Diet, probiotics, intermittent fasting, and HRT offer effective management strategies.

Researched by:

  • Divine Aleru ID
    Divine Aleru

    User avatarI am a biochemist with a deep curiosity for the human microbiome and how it shapes human health, and I enjoy making microbiome science more accessible through research and writing. With 2 years experience in microbiome research, I have curated microbiome studies, analyzed microbial signatures, and now focus on interventions as a Microbiome Signatures and Interventions Research Coordinator.

    Read More

Last Updated: 2025-07-19

Microbiome Signatures identifies and validates condition-specific microbiome shifts and interventions to accelerate clinical translation. Our multidisciplinary team supports clinicians, researchers, and innovators in turning microbiome science into actionable medicine.

Divine Aleru

I am a biochemist with a deep curiosity for the human microbiome and how it shapes human health, and I enjoy making microbiome science more accessible through research and writing. With 2 years experience in microbiome research, I have curated microbiome studies, analyzed microbial signatures, and now focus on interventions as a Microbiome Signatures and Interventions Research Coordinator.

What was reviewed?

The article presents a detailed review of menopausal hot flashes, examining both the physiological and biosociocultural factors that contribute to this common menopausal symptom. It highlights the lack of clarity regarding the exact causes and mechanisms of hot flashes, despite decades of research. The paper discusses how the understanding of hot flashes has expanded to include sociocultural aspects, such as the influence of diet and cultural perceptions, in addition to the biological factors like hormone levels. The review also addresses the various methods used in hot flash research, including neuroimaging and genetic studies.

Who was reviewed?

The paper primarily focuses on studies of menopausal women from both Western and Asian populations. It compares the prevalence of hot flashes in these groups, noting that women in Western countries, particularly the U.S., report more frequent symptoms than those in Asian countries like Japan. The review also considers how cultural factors affect the reporting of hot flashes, as well as how genetic variations, such as the ability to metabolize soy isoflavones into equol, contribute to the experience of hot flashes. Women from different cultural backgrounds, as well as those undergoing treatments like hormone therapy, are central to the studies reviewed.

Most important findings

The review finds that hot flash prevalence varies significantly across cultures, with Asian women, particularly in Japan, reporting fewer hot flashes than their Western counterparts. Dietary factors, such as higher soy intake in Japan, appear to play a role in this difference, as soy isoflavones have estrogen-like effects. Genetic factors also contribute to hot flash variability, with some women being “equol producers” who metabolize soy into a biologically active form that may help reduce hot flashes. Emerging research using neuroimaging and genetic analysis is shedding light on the brain mechanisms and genetic polymorphisms that could influence the severity and occurrence of hot flashes.

Key implications

The review underscores the need for more nuanced research into hot flashes that considers both biological and cultural influences. It suggests that treatments for hot flashes should be personalized, taking into account cultural differences in symptom reporting and the role of diet. The development of better research tools, including neuroimaging and genetic studies, is crucial for uncovering the mechanisms behind hot flashes. Such advancements could lead to more targeted and effective treatments, especially in light of the complexities involved in how hot flashes are experienced and managed across different populations.

Menopausal Hot Flashes

Menopausal hot flashes are one of the most common and disruptive symptoms that women experience during the transition to menopause. Characterized by sudden sensations of heat, sweating, and flushing, hot flashes can significantly affect a woman’s quality of life, causing sleep disturbances, mood swings, and even long-term health consequences. Understanding the complex mechanisms behind hot flashes, as well as the role of microbiome-targeted therapies, offers new avenues for improving menopausal health.

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