Hormonal imbalances are the primary source of the physical and mental symptoms that many women endure throughout the menopause transition. Menopause symptoms usually start to appear in women in their mid-40s. The term "perimenopause" refers to this phase of gradually declining and variable hormone levels that might last for a few years prior to a woman's last menstrual cycle. Menopause usually brings an end to perimenopause symptoms for most women, however some may linger. Hot flashes, sometimes referred to as hot flushes, are unexpected, fleeting episodes of elevated body temperature, primarily in the face and chest. Some ladies flush delicately, while others get the sensation of being enveloped in flames. Hot flashes frequently come with flushing, pressure in the head, and palpitations in the chest.

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