A sudden wave of heat — usually starting in the chest and rising to the neck and face. Your skin may redden, your heart may race and you may sweat. Most last two to four minutes. They affect around three quarters of women going through menopause and can range from occasional and mild to frequent and exhausting. You are not imagining it. And you do not have to just put up with

Falling oestrogen levels during perimenopause and menopause affect the part of the brain that controls body temperature — causing it to overreact to small changes in heat. How you think and feel about a flush can also make it more intense — the dread, the anxiety, the frustration. This is not a weakness. It is how the brain and body work together — and it is exactly what "In Her Prime" addresses.

Please speak to your GP if hot flushes are affecting your sleep, work or daily life, if you are unsure whether they are related to menopause, or if you would like to discuss HRT or other treatment options. Your GP is always the right first port of call for any medical concerns.

In Her Prime teaches you practical skills to change how your mind and body respond to a flush — reducing its frequency, intensity and impact on your daily life. Recommended by NICE and based on NHS research. It does not stop hot flushes. It gives them less power over your day. In Her Prime is a learning programme — not therapy or medical advice. Please speak to your GP about any medical concerns.

Slow your breathing at the start of a flush — this alone can reduce its intensity Identify your triggers — common ones include hot drinks, alcohol, spicy food, stress and warm rooms Layer your clothing and keep your environment cool Limit caffeine and alcohol Gentle regular movement can reduce frequency over time