Multi-Symptom Decision Tree

Hot Flashes + Sleep Disruption

Symptoms: Hot flashes · Night sweats · Insomnia · Early waking. Likely cause: Late perimenopause or menopause.

Likely cause

Late perimenopause or menopause

See condition page →

First steps

  1. Track timing + triggers via symptom diary
  2. Lab work: FSH (cycle day 2-5), TSH
  3. NAMS-certified provider consult

Treatment options

  • Transdermal estradiol (HRT)
  • Fezolinetant (non-hormonal NK3 antagonist)
  • Low-dose paroxetine / venlafaxine
  • CBT-for-menopause

When to see doctor

Symptoms ≥4 nights/week disrupting sleep for 4+ weeks. Faster if any bleeding after 12mo amenorrhea.

Browse providers for Late perimenopause or menopauseTake the matcher

Other symptom combinations

Brain Fog + Mood ChangesWeight Gain + FatigueIrregular Periods + AcneLow Libido + Vaginal DrynessJoint Pain + Muscle LossHair Loss + FatigueHeavy Bleeding + AnemiaDepression + Anxiety

Informational only — a symptom pattern is not a diagnosis. Only a clinician can diagnose the cause of your symptoms.