Brief Answer:
Vasomotor symptoms

Detailed Answer:
Sorry to learn about your symptoms.

You have not mentioned your age or gender but it seems likely you are a female in menopausal transition. However I would like to confirm this first.

Regardless, there are other conditions that can mimic vasomotor symptoms.

One of them is an overactive thyroid.

The other is a rare condition called pheochromocytoma.

There are 2 blood tests that can help rule out these two conditions. One is called TSH and the other is plasma free metanephrines. Neither of these tests require you to be fasting.

Furthermore, a thorough examination is necessary before ascribing these hot flashes to menopause.

Once the diagnosis is confirmed, treatment options can be considered. Typically, in the first few years after menopause one can strongly consider taking hormone replacement therapy (HRT) after weighing the pros and cons. This requires a comprehensive discussion with your doctor. If many years have passed since menopause then generally HRT is not considered the best option. There are couple other alternative types of medications that can help such as SSRI's and SNRI's.
Choosing the appropriate one is an important decision made jointly by the individual and the doctor.

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Brief Answer:
Follow up

Detailed Answer:
I see.

That is the right call to avoid HRT at this juncture.

As mentioned above, ask you gynecologist to consider other medications which are not hormonal such as paroxetine, escitalopram, venlafaxine and gabapentin. Of these, only Paroxetine has recently been approved for this purpose. So the others have been used off label over the years by experienced practitioners. Kindly note this and I am sure your doctor will emphasize this too.

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