If you see a primary care doctor or menopause specialist for hot flashes or other symptoms, there are a few things you can expect at the appointment.
Discussion of Symptoms
“A menopause evaluation usually begins with a detailed conversation,” says Cathleen M. Brown, DO, a board-certified ob-gyn and medical director at Winona who is based in Philadelphia. You’ll talk about your menstrual history, when the hot flashes began, how often you’re experiencing them, and how they’re affecting your sleep, emotional well-being, and daily life.
Your doctor may also use a specific screener, such as The Menopause Society’s health questionnaire, to guide the conversation.
You could also keep a symptom diary, logging hot flashes for a week or two, but all your doctor really needs to know is how much the hot flashes have been bothering you, says Dr. Brown. Your doctor may ask about nighttime awakenings and how they’re affecting your concentration, energy, exercise, social activities, and work, for example.
Health History
Your doctor will also ask about your health history, including any other conditions you may have, previous treatments you’ve tried, medications and supplements you currently take, and family history of disease. This can help them suggest treatments that may be safe and effective for you.
Going Over Options for Treatment
If you seem to be a candidate for hot flash treatment, the doctor will discuss your options.
“By the end of the visit, the patient should understand her treatment options, their potential benefits and risks, and the plan for follow-up,” says Brown.
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