Question
I'm 63 and have had hot flashes for the last 20 years. I still have all my 'parts' and don't take hormones. I suffer from severe depression and take anti-depressants. Is there anything I can do? Can this be thyroid related? Should I move to Alaska?
Answer
It is unusual for hot flashes to persist with this severity for 20 years. Older women can still have them but they usually become less intense.
Many anti-depressants are being used as an alternative to estrogen for hot flashes, so this is a bit unusual.
On the other hand, some of the anti-depressant medications can cause sweating, so it is important that you have a complete re-evaluation by your medical doctor and psychiatrist.
Yes, there are other medical reasons for hot flashes, therefore I do think further testing and evaluation is indicated.