I really didnt want to go on drugs or hormones (even bio-identical) to deal with my hot flashes because of watching my best friend go through hell and spend thousands of dollars trying to re-balance her system from what her doctors put her on to help her through menopause. I found a mattress pad that can be set to any temperature between 46oF to 118oF. Lifesaver! All the other symptoms of menopause were reduced for me by using this because with a full night's sleep the body is better able to deal with the change.