Though menopause brings in various symptoms that affect women psychologically, hot flashes are associated with depression in women aged 65 and older.

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A number of risk factors are independently associated with moderate-to-severe depressive symptoms, including persistent hot flashes.
Among other findings, the study documented that a number of risk factors are independently associated with moderate-to-severe depressive symptoms, including persistent hot flashes.
Other factors included living in financially insecure housing, serving as a caregiver to another person, being a smoker, having pelvic floor dysfunction, or experiencing vaginal dryness during intercourse.
Women with partners and those employed were less susceptible to depression. Of no surprise was the fact that moderate-to-severe depressive symptoms were more common among women using antidepressants compared with nonusers.
"Older women need to be assessed for depression, particularly if they have housing issues or caregiving responsibilities and complain of hot flashes, vaginal dryness, or pelvic floor issues," says Dr. JoAnn Pinkerton, NAMS executive director.
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