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“Introduction Menopausal women frequently complain about hot flashes because of the embarrassment they cause socially and professionally and their impact on the quality of life (QoL).[1–3] During the perimenopause and the menopause proper, up to 80% of women may experience this climacteric problem.[3] In 50% of women, this problem tends to resolve spontaneously within 4 years,[4] but around 30% of women >60 years of age continue to suffer from hot flashes.[5] The number, intensity, and duration of hot flashes and night sweats varies considerably from one woman to another and even individually.[3–5] Hot flashes have a mean duration of between 3 and 4 minutes, but some can last up to 1 hour.