Hot-flash suppression impairs autonomic recovery

Menopausal hot flashes may release heat at night. This proposed mechanism asks whether suppression slows next-day heart and blood-vessel recovery. Under nighttime heat, suppression first is predicted to reduce flashes while retaining heat and slowing autonomic recovery, automatic heart-and-vessel control. The decisive test keeps suppression in place, then randomly adds external cooling. If cooling restores recovery during continued suppression, the pattern would support the idea that flashes compensate by shedding heat. Testing needs temperature, heat-flow, sweating, sleep, hot-flash activity, and autonomic measurements, while separating a drug's direct effects from reduced heat loss. The comparison could guide treatment order for heat-sensitive menopausal syndromes.