08/31/2026
I think a lot of women assume that if hot flashes have been going on for years, something must be off.
The SWAN study followed women through the menopause transition and found frequent hot flashes and night sweats lasted a median 7.4 years.
For women whose symptoms started before or early in perimenopause, it was more than 11 years.
And even after the final period, they often kept going for years.
That is a very different timeline from what most women expect when this starts.
If you are losing sleep night after night or planning your day around hot flashes, I would bring it up instead of assuming you just have to outlast them. There are hormone and nonhormone treatment options, and how much these symptoms are affecting your life matters.
I’m curious how many women were actually given a realistic timeline when their hot flashes first started.