Watching women go through menopause, you understand immediately why hot flashes are such a big deal. The rush of heat, flushing and blotchy skin, and perspiration can be distressing and embarrassing at the best of times—and when these moments occur at night, they may be even worse. Menopausal women often deal with the rapid heartbeat and uncomfortable flushing multiple times per day (or per hour) and can experience chronic insomnia as a result. Depending on the woman, this perfect storm of discomfort can last anywhere from five to ten years or more. Combine hot flashes with the mood swings, vaginal discomfort, and other widely varied symptoms of menopause, and it’s no wonder women are seeking relief.