“…Flushes are occasionally provoked by environmental factors, such as hot weather and stress, but in the majority, the trigger for each individual episode is not known. It has been suggested, though, that hot flushes are associated with race or ethnicity [8][9][10], cigarette smoking, caffeine or alcohol consumption [1,[10][11][12][13][14][15], high body mass index (BMI) [10,14,15], family history of hot flushes [1], socioeconomic factors [12,16,17] and anxiety [18]. It seems that the individual woman's perception of the menopause as well as her cultural background and underlying personality may modify her reaction to the physiological changes that occur during the flush.…”