The DOI matches its Crossref record; 83 of the 86 references it cites were found in a registry or an index.
Hot flashes: Phenomenology, quality of life, and search for treatment options
Open accessAbstract
Menopausal hot flashes are a significant problem for women. Hot flashes can impact on daily functioning, particularly when they disrupt sleep, leading to fatigue and irritability during the day. However, our knowledge about this primary complaint of menopausal women is far from complete. It is known that a hot flash is associated with thermoregulatory, cardiovascular, and endocrine changes. However, much is unknown about the phenomenology of hot flashes, such as the range of variability in the pattern and longitudinal course of hot flashes. Although estrogen plays a role in the etiology of hot flashes, the mechanism by which its withdrawal precipitates hot flashes and its replacement relieves them is not understood. Nor do we know what it is that triggers individual hot flash episodes. We are beginning to learn about factors, such as ambient temperature, that modulate the frequency of severity of hot flashes. And very new data suggest that the ingestion of certain foods may influence hot flashes via estrogenic substances present in the food plants. Although there is much anecdotal information about herbs and other nonconventional remedies, little or no research had been done to assess the efficacy or safety of these methods for the treatment of hot flashes. An immediate focus on some of the most promising of these therapies could broaden the available treatment options and should provide new insights into the mechanism underlying hot flashes.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Figures







Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Hot flushes do not occur in situations where estrogen is chronically absent from birth, unless exogenous estrogens are administered and then subsequently withdrawn (Kronenberg, 1994).”
From Modulation of body temperature and LH secretion by hypothalamic KNDy (kisspeptin, neurokinin B and dynorphin) neurons: A novel hypothesis on the mechanism of hot flushes (2013) · cites this paper as Kronenberg, 1994
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Fever: Role of Pyrogens and Cryogens
Kluger, M. J. (1991) · Physiological Reviews · doi:10.1152/physrev.1991.71.1.93 · Cited by 1,220
The normal menopause transition
McKinlay, S. M., Brambilla, D. J., & Posner, J. G. (1992) · Maturitas · doi:10.1016/0378-5122(92)90003-m · Cited by 1,112
Hot Flashes: Epidemiology and Physiology a
KRONENBERG, F. (1990) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1990.tb30316.x · Cited by 601
Self-citationThe antiestrogenic effect of cigarette smoking in women
Baron, J. A., Vecchia, C. L., & Levi, F. (1990) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(90)90420-c · Cited by 594
Oestrogen Therapy and the Menopausal Syndrome
Campbell, S. C., & Whitehead, M. I. (1977) · Clinics in Obstetrics and Gynaecology · doi:10.1016/s0306-3356(21)00374-5 · Cited by 542
Naturally occurring oestrogens in foods--a review.
Price, K., & Fenwick, G. (1985) · Food Additives and Contaminants · doi:10.1080/02652038509373531 · Cited by 465
McKinlay, S. M., & Jefferys, M. (1974) · Journal of Epidemiology & Community Health · doi:10.1136/jech.28.2.108 · Cited by 452
Adlercreutz, H., Fotsis, T., Bannwart, C., Wähälä, K., Mäkelä, T., Brunow, G., & Hase, T. (1986) · Journal of Steroid Biochemistry · doi:10.1016/0022-4731(86)90310-9 · Cited by 378
Association of Waking Episodes With Menopausal Hot Flushes
Erlik, Y. (1981) · JAMA · doi:10.1001/jama.1981.03310420031025 · Cited by 308
Dietary phyto-oestrogens and the menopause in Japan
Adlercreutz, H., Hämäläinen, E. K., Gorbach, S. L., & Goldin, B. R. (1992) · The Lancet · doi:10.1016/0140-6736(92)91174-7 · Cited by 277
Menopausal flushes: a neuroendocrine link with pulsatile luteinizing hormone secretion
Casper, R. F., Yen, S. S. C., & Wilkes, M. M. (1979) · Science · doi:10.1126/science.462193 · Cited by 267
Effects of "natural oestrogen" replacement therapy on menopausal symptoms and blood clotting.
Coope, J., THOMSON, J. M., & Poller, L. (1975) · BMJ · doi:10.1136/bmj.4.5989.139 · Cited by 240
NEUROENDOCRINOLOGY OF MENOPAUSAL FLUSHES: AN HYPOTHESIS OF FLUSH MECHANISM
Casper, R. F., & Yen, S. S. C. (1985) · Clinical Endocrinology · doi:10.1111/j.1365-2265.1985.tb03243.x · Cited by 229
Behavioral treatment of menopausal hot flushes: Evaluation by ambulatory monitoring
Freedman, R. R., & Woodward, S. (1992) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(11)91425-2 · Cited by 225
Effect of oestrogen on the sleep, mood, and anxiety of menopausal women.
Thomson, J. A., & Oswald, I. P. (1977) · BMJ · doi:10.1136/bmj.2.6098.1317 · Cited by 224
Cultural significance and physiological manifestations of menopause a biocultural analysis
Beyene, Y. (1986) · Culture Medicine and Psychiatry · doi:10.1007/bf00053262 · Cited by 223
Oestrogenic effects of plant foods in postmenopausal women.
Wilcox, G., Wahlqvist, M. L., Burger, H., & Medley, G. (1990) · BMJ · doi:10.1136/bmj.301.6757.905-a · Cited by 223
Menopausal Flushing: Double-blind Trial of a Non-hormonal Medication
Clayden, J. R., Bell, J. W., & Pollard, P. P. (1974) · BMJ · doi:10.1136/bmj.1.5905.409 · Cited by 220
Estrogen levels in postmenopausal women with hot flashes.
Erlik, Y., Meldrum, D. R., & Judd, H. L. (1982) · PubMed · Cited by 220
Effects of Estrogens on Sleep and Psychological State of Hypogonadal Women
Schiff, I. (1979) · JAMA · doi:10.1001/jama.1979.03300220017014 · Cited by 200
LH, FSH AND SKIN TEMPERATURE DURING THE MENOPAUSAL HOT FLAS
Tataryn, I. V., Meldrum, D. R., Lu, K. H., Fruraar, A. M., & Judd, H. L. (1979) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-49-1-152 · Cited by 200
The normal menopause transition
McKinlay, S. M., Brambilla, D. J., & Posner, J. G. (1992) · American Journal of Human Biology · doi:10.1002/ajhb.1310040107 · Cited by 198
Oral Medroxyprogesterone in the Treatment of Postmenopausal Symptoms
Schiff, I. (1980) · JAMA · doi:10.1001/jama.1980.03310130021021 · Cited by 195
Menopausal Age and Symptomatology in a General Practice
Thompson, B. E., Hart, S. A., & Durno, D. (1973) · Journal of Biosocial Science · doi:10.1017/s0021932000008956 · Cited by 195
Sleep patterns and stability in perimenopausal women
Shaver, J., Giblin, E., Lentz, M., & Lee, K. (1988) · SLEEP · doi:10.1093/sleep/11.6.556 · Cited by 186
Ambiquities of aging: Japanese experience and perceptions of menopause
Lock, M. M. (1986) · Culture Medicine and Psychiatry · doi:10.1007/bf00053261 · Cited by 185
VITAMIN E AND CLIMACTERIC SYNDROME
Blatt, M. H. G. (1953) · A M A Archives of Internal Medicine · doi:10.1001/archinte.1953.00240180101012 · Cited by 158
Body temperatures during menopausal hot flashes
Molnar, G. W. (1975) · Journal of Applied Physiology · doi:10.1152/jappl.1975.38.3.499 · Cited by 156
Vasomotor symptoms, serum estrogens, and gonadotropin levels in surgical menopause
Aksel, S., Schomberg, D. W., Tyrey, L., & Hammond, C. B. (1976) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(76)90270-2 · Cited by 149
Kronenberg, F., COTE, L. J., Linkie, D. M., DYRENFURTH, I., & Downey, J. A. (1984) · Maturitas · doi:10.1016/0378-5122(84)90063-x · Cited by 149
Self-citationEffect of clonidine on hot flashes in postmenopausal women.
Laufer, L. R., Erlik, Y., Meldrum, D. R., & Judd, H. L. (1982) · PubMed · Cited by 142
Wh, U. (1972) · PubMed · Cited by 141
Gavaler, J. S., & Thiel, D. H. V. (1992) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.1992.tb00642.x · Cited by 135
Effects of testosterone, estradiol, and temperature on neurons in preoptic tissue slices
Silva, N. L., & Boulant, J. A. (1986) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1986.250.4.r625 · Cited by 134
Does Physical Exercise Influence the Frequency of Postmenopausal Hot Flushes?
Hammar, M. L., And, G. B., & Lindgren, R. (1990) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.3109/00016349009013303 · Cited by 131
Postmenopausal hot flushes: A disorder of thermoregulation
TATARYN, I. V., Lomax, P., Bajorek, J. G., Chesarek, W., Meldrum, D. R., & Judd, H. L. (1980) · Maturitas · doi:10.1016/0378-5122(80)90043-2 · Cited by 130
Use of medroxyprogesterone acetate to prevent menopausal symptoms.
Jl, B., Fm, M., & Rd, G. (1975) · PubMed · Cited by 125
London, S. J., Willett, W. C., Longcope, C., & McKinlay, S. M. (1991) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/53.1.166 · Cited by 120
Researching the symptoms of menopause: An exercise in methodology
Kaufert, P. A., Gilbert, P., & Hassard, T. (1988) · Maturitas · doi:10.1016/0378-5122(88)90156-9 · Cited by 117
Ss, Y. (1977) · PubMed · Cited by 117
Gonadotropins, Estrogens, and Adrenal Steroids during the Menopausal Hot Flash*
Meldrum, D. R., TATARYN, I. V., Frumar, A. M., Erlik, Y., Lu, K. H., & Judd, H. L. (1980) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-50-4-685 · Cited by 111
Meites, J. (1983) · Springer eBooks · doi:10.1007/978-1-4684-4523-7 · Cited by 108
CARDIOVASCULAR RESPONSES DURING THE MENOPAUSAL HOT FLUSH
Ginsburg, J., Swinhoe, J. R., & O'Reilly, B. (1981) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1981.tb02230.x · Cited by 106
Marrone, B. L., Thomas Gentry, R., & Wade, G. N. (1976) · Physiology & Behavior · doi:10.1016/0031-9384(76)90101-3 · Cited by 105
Thermoregulatory physiology of menopausal hot flashes: a review
Kronenberg, F., & Downey, J. A. (1987) · Canadian Journal of Physiology and Pharmacology · doi:10.1139/y87-208 · Cited by 103
Self-citationThe Thermogenic Property of Progesterone
Israel, S. L., & Schneller, O. (1950) · Fertility and Sterility · doi:10.1016/s0015-0282(16)30066-8 · Cited by 94
Objectively Recorded Hot Flushes in Patients with Pituitary Insufficiency*
Meldrum, D. R., Erlik, Y., JOHN, K. H. L., & Judd, H. L. (1981) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-52-4-684 · Cited by 90
Modulation of menopausal hot flashes by ambient temperature
Kronenberg, F., & Barnard, R. M. (1992) · Journal of Thermal Biology · doi:10.1016/0306-4565(92)90018-b · Cited by 85
Self-citationInduction of hot flashes in premenopausal women treated with a long-acting GnRH agonist
DEFAZIO, J., MELDRUM, D. R., LAUFER, L., VALE, W., RIVIER, J., LU, J. K. H., & JUDD, H. L. (1983) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-56-3-445 · Cited by 84
Hot flushes after hypophysectomy.
Mulley, G. P., Mitchell, J. R. A., & Tattersall, R. B. (1977) · BMJ · doi:10.1136/bmj.2.6094.1062 · Cited by 81
Sex as a factor influencing the responsiveness of arterioles to catecholamines
Altura, B. M. (1972) · European Journal of Pharmacology · doi:10.1016/0014-2999(72)90183-5 · Cited by 78
Voda, A. M. (1981) · Maturitas · doi:10.1016/0378-5122(81)90022-0 · Cited by 77
The physiology and measurement of hot flushes
Rebar, R. W., & Spitzer, I. (1987) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(87)90165-7 · Cited by 76
The effect of transdermal estradiol on hormone and metabolic dynamics over a six-week period.
Haas, S. T., Walsh, B. A., Evans, S., Krache, M., Ravnikar, V. A., & Schiff, I. (1988) · PubMed · Cited by 74
Increase of proopiomelanocortin-related peptides during subjective menopausal flushes
Genazzani, A. R., Petraglia, F., Facchinetti, F., Facchini, V., Volpe, A., & Alessandrini, G. (1984) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(84)90121-2 · Cited by 68
Multiple component self-control program for menopausal hot flashes
Stevenson, D., & Delprato, D. J. (1983) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(83)90031-9 · Cited by 62
Chakravarti, S., Collins, W. P., Thom, M. H., & Studd, J. W. W. (1979) · BMJ · doi:10.1136/bmj.1.6169.983 · Cited by 61
Correlates of menopausal hot flashes
Gannon, L. R., Hansel, S., & Goodwin, J. (1987) · Journal of Behavioral Medicine · doi:10.1007/bf00846541 · Cited by 60
Climacteric symptoms: A study in the Indian context
Sharma, V. K., & Saxena, M. (1981) · Maturitas · doi:10.1016/0378-5122(81)90014-1 · Cited by 53
Casper, R. F., & Yen, S. S. C. (1981) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-52-5-934 · Cited by 52
Further delineation of hypothalamic dysfunction responsible for menopausal hot flashes
GAMBONE, J., MELDRUM, D. R., LAUFER, L., CHANG, R. J., LU, J. K. H., & JUDD, H. L. (1984) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-59-6-1097 · Cited by 50
Peripheral blood flow in menopausal women who have hot flushes and in those who do not.
Ginsburg, J., Hardiman, P. J., & O’Reilly, B. J. (1989) · BMJ · doi:10.1136/bmj.298.6686.1488 · Cited by 48
Effect of megestrol acetate on flushing and bone metabolism in post-menopausal women
Erlik, Y., Meldrum, D. R., Lagasse, L. D., & Judd, H. L. (1981) · Maturitas · doi:10.1016/0378-5122(81)90008-6 · Cited by 47
A STUDY OF THE EFFECTIVENESS OF PROPRANOLOL IN MENOPAUSAL HOT FLUSHES
Coope, J., Williams, S. E. I., & Patterson, J. (1978) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1978.tb14916.x · Cited by 46
Thermoregulation : the pathophysiological basis of clinical disorders
Lomax, P., & Schönbaum, E. (1992) · Cited by 44
Abe, T., Furuhashi, N., YAMAYA, Y., Wada, Y., Hoshiai, A., & Suzuki, M. (1977) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(77)90822-5 · Cited by 41
Tulandi, T., & Lal, S. (1985) · Obstetrical & Gynecological Survey · doi:10.1097/00006254-198509000-00002 · Cited by 39
McLaren, H. C. (1949) · BMJ · doi:10.1136/bmj.2.4641.1378 · Cited by 39
Christy, C. J. (1945) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(45)90011-1 · Cited by 39
Biologically Active Phytoestrogens Are Present in Bourbon
Gavaler, J. S., Rosenblum, E. R., Thiel, D. H. V., Eagon, P. K., Pohl, C. R., Campbell, I. M., & Gavaler, J. (1987) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.1987.tb01331.x · Cited by 37
Menopausal hot flashes: their cycles and relation to air temperature.
Molnár, G. (1981) · PubMed · Cited by 35
Physiology and Treatment of Hot Flushes
Ravnikar, V. A. (1990) · Obstetrics and Gynecology · doi:10.1097/00006250-199004001-00002 · Cited by 31
Lightman, S. L., Jacobs, H. S., & MAGUIRE, A. K. (1982) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1982.tb04649.x · Cited by 30
Ravnikar, V. A., Elkind-Hirsch, K. E., Schiff, I., Ryan, K. J., & Tulchinsky, D. (1984) · Fertility and Sterility · doi:10.1016/s0015-0282(16)47902-1 · Cited by 26
Physiology and treatment of hot flushes
Ravnikar, V. A. (1990) · International Journal of Gynecology & Obstetrics · doi:10.1016/0020-7292(90)90538-v · Cited by 25
Thiel, D. H. V., Galvão-Teles, A., Monteiro, E., Rosenblum, E. R., & Gavaler, J. S. (1991) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.1991.tb00608.x · Cited by 24
Campbell, S. (1976) · Springer eBooks · doi:10.1007/978-94-011-6165-7_6 · Cited by 20
The Relationship of Menopausal Hot Flushes to Medical and Reproductive Experience
Sherman, B. M., Wallace, R. B., Bean, J. A., Chang, Y., & Schlabaugh, L. (1981) · Journal of Gerontology · doi:10.1093/geronj/36.3.306 · Cited by 19
Transcultural Influences in Peri-Menopause
Flint, M. (1979) · Springer eBooks · doi:10.1007/978-94-011-7698-9_3 · Cited by 13
Walsh, B., & Schiff, I. (1990) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1990.tb30345.x · Cited by 12
Pathophysiology of Menopausal Hot Flushes
Judd, H. L. (1983) · Springer eBooks · doi:10.1007/978-1-4684-4523-7_10 · Cited by 9
Psychoneuroendocrinology of postmenopausal hot flashes
Zichella, L., Tesseri, E., Falaschi, P., Gambacciani, M., Cagnacci, A., Strigini, F. A. L., Melis, G. B., & FIORETTI, P. (1988) · IRIS Research product catalog (Sapienza University of Rome) · Cited by 3
The use of vitamin E in menopausal syndrome.
He, F. (1948) · PubMed · Cited by 2
Research works printed but not linked: 2
- Casper, 1979, Physical neuroendocrine and neuropharmacologic correlates during menopausal flushes, Endocr. Soc., 125
- Hammar, 1991, Does acupuncture influence the frequency of postmenopausal hot flushes?, NAMS, 76
Cited by
Sorted by citations
Risk for New Onset of Depression During the Menopausal Transition
Cohen, L. S., Soares, C. N., Vitonis, A. F., Otto, M. W., & Harlow, B. L. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.4.385 · Cited by 852
Long term hormone therapy for perimenopausal and postmenopausal women
Farquhar, C. M., Marjoribanks, J., Lethaby, A. E., Suckling, J. A., & Okonkwo, Q. L. (2005) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004143.pub2 · Cited by 587
Stearns, V., Beebe, K. L., Iyengar, M., & Dube, E. (2003) · JAMA · doi:10.1001/jama.289.21.2827 · Cited by 496
Characteristics and correlates of fatigue after adjuvant chemotherapy for breast cancer.
Broeckel, J., Jacobsen, P. B., Horton, J., Balducci, L., & Lyman, G. H. (1998) · Journal of Clinical Oncology · doi:10.1200/jco.1998.16.5.1689 · Cited by 468
Greendale, G. A., Lee, N. P., & Arriola, E. R. (1999) · The Lancet · doi:10.1016/s0140-6736(98)05352-5 · Cited by 467
Metadata
- Authors
- Kronenberg, F.
- Affiliations
- Columbia University (US)
- Corresponding author
- Kronenberg, Fredi
- Venue
- Experimental Gerontology
- Publisher
- Elsevier BV
- Published
- 1994-05
- Volume
- 29
- Issue
- 3-4
- Pages
- 319-336
- ISSN
- 0531-5565 (ISSN-L)
- OpenAlex
- W1991681674
- Cited by
- 217
- References
- 86
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 5 · 2016: 6 · 2015: 9 · 2014: 5 · 2013: 11 · 2012: 7
- FWCI
- 1.17
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Experimental Gerontology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Vidda Foundation
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Estrogen and related hormone effects
- Health Sciences › Nursing › Nutrition and Dietetics › Phytoestrogen effects and research
- Keywords
- hot flashes, menopause, quality of life, sleep disruption, fatigue, estrogen withdrawal, estrogen replacement therapy, thermoregulation, cardiovascular changes, endocrine changes, ambient temperature, phytoestrogens, herbal medicine
- MeSH terms
- Behavior Therapy, Body Temperature Regulation, Climacteric, Endocrine Glands, Estrogens, Female, Humans, Quality of Life, Vitamin E, Magnoliopsida
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review