Hello, my name is Dr.Dorina Gurabardhi. I understand your concern. Some advices that I can give to you are : -dressing in layers, even on the coldest days, so -you can adjust your clothing to how you’re feeling -sipping ice water at the start of a hot flash -wearing cotton night clothes and using cotton bed linens -keeping an ice pack on your bedside table -Gabapentin and pregabalin, usually given for nerve-mediated pain, offer relief. -eat a well-balanced diet, with portion-control -exercising regularly -stopp smoking, if you do Hope my answer was helpful, if you have any other questions I ll be glad to help, thanks!