Does smoking make hot flushes more severe?
Yes, women who smoke are more likely to experience more frequent and severe hot flushes during menopause, and symptoms may begin earlier compared to non-smokers.
Detailed Medical Explanation
Nicotine and other chemicals in tobacco can affect oestrogen metabolism, cause blood vessel changes, and worsen vasomotor symptoms such as hot flushes. Smokers often have earlier menopause and more intense symptoms. Stopping smoking improves hot flushes and overall health. For more, see NHS menopause support.
Clinical Context
Quitting smoking is one of the most effective lifestyle changes for women with menopause symptoms. NHS stop smoking services can provide support and advice.
Evidence-Based Approaches
NICE and NHS strongly recommend stopping smoking for women experiencing hot flushes. For help quitting, visit NHS Quit Smoking.