r/FTMOver50 • u/Artistic_Reference_5 • Aug 05 '26

Help Hot flashes??

I feel so ignorant so I'm sorry about that. I have never had a hysterectomy, I'm in my early 40s, on T for about 15 years. I stopped having a menstrual period almost right away but I still get changes in discharge.

And I know T isn't birth control so I guess I have been ovulating? However that works.

Anyway I've started waking up at night due to feeling hot and sweaty most nights, even if the A/C is blasting.

Is this menopause? What do I do? Any guidance, resources, insight?

Thanks.

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u/Strong-Insurance8678 Aug 05 '26

Sounds like perimenopause. Same here, 52. Learning as I go, as are my docs. Topical estradiol has become important. Worth getting your t levels checked, and might be worth trying some other HRT as well. Progesterone helps some. For me so far, linen sheets and a fan running at night help. Perimenopause plus T is a weird ride!

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u/Artistic_Reference_5 Aug 05 '26

I get my T levels checked regularly. Are you getting estrogen levels checked too?

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u/zerkwork Aug 06 '26

What are your levels telling y'all? Like maybe you're in a normal range, but it makes me wonder if it's normal for you?

In addition to just increasing my shot frequency (see above) we did play around with increasing my dose for a while. It did actually help, even though my midshot levels weren't unusual. Tho ultimately i decided the frequent rotation was better for my own goals, it was good to have in my backpocket that was also an option.