How long do hot flashes last for Malaysian women?

Hot flashes typically last 4-7 years on average, but some women experience symptoms for 10+ years. According to the Study of Women's Health Across the Nation (SWAN) referenced in North American Menopause Society guidelines, approximately 25% of women experience hot flashes for more than 10 years. Influencing factors: age at onset (earlier tends to last longer), adherence to management strategies, and initial severity. For Malaysian women, tropical climate can increase intensity but not necessarily duration. Management strategies: environmental cooling (22-24°C room temperature), breathable fabrics, reducing triggers like spicy food and caffeine. For moderate-severe symptoms: soy isoflavones (moderate evidence, halal), hormone therapy after obstetrics and gynaecology consultation, or certain low-dose antidepressants (for women who can't take hormone replacement therapy). Most women report progressively declining severity after the first 5 years post-menopause. If your hot flashes disrupt sleep and work, see an obstetrics and gynaecology specialist for a treatment plan.