Guidance for women: lifestyle measures

There is some evidence that hot flushes and night sweats can be helped by weight loss (if applicable), by stopping smoking and by exercising regularly. Practical measures such as wearing lighter clothing and/or dressing in layers, turning down central heating, sleeping in a cooler room, and using fans may help. Some women find that symptoms are triggered by spicy foods, caffeine and alcohol. These can be minimised or avoided.

Pelvic floor muscle training is an effective intervention for urinary symptoms, particularly for stress and mixed incontinence related to the menopause. This is perhaps best guided by a therapist, but women who wish to ‘go it alone’ can try to follow appropriate information, such as in the NHS 'Squeezy' app.

Postmenopausal women are at greater risk of osteoporosis and fragility fractures. General advice on regular exercise (tailored to the person) to improve muscle strength helps to reduce this risk.