Hormonal health
Everything you need to know about hot flashes and nausea

About 75 per cent of women experience hot flashes but many questions remain unanswered about the nausea that comes with it. Can hot flashes cause nausea? How? What to do?
A hot flash is a sudden feeling of warmth in the upper body, which is usually most intense over the face, neck and chest.
Hot flashes are the most common of an array of indicators of menopause and perimenopause called vasomotor symptoms.
They start when blood vessels near the skin’s surface widen to cool off, making you break out in a sweat. Some women have a rapid heart rate or chills too.
Can hot flashes cause nausea?
Yes, they can.
Hot flashes that occur at night can cause drenching night swears and, sometimes, they may be so strong that they can make the individual feel nauseous.
Other symptoms of hot flashes include headaches and migraines which may also cause nausea.
A menopausal woman can feel nauseous before, during or after a hot flash.
What causes nausea?
Suddenly feeling hot and nauseous with a hot flash is believed to be due to abrupt changes in serotonin, which can stimulate the area postrema, a part of the brain that controls nausea and vomiting.
Area postrema is located right next to the hypothalamus – the part of the brain that regulates temperatures. Due to hormonal fluctuations, the hypothalamus incorrectly detects that the body is overheating, and heat loss mechanisms are triggers, provoking a hot flash.
Nausea can also be caused by a sudden dip in blood pressure, by pressure on the liver or by blood sugar levels.
How to prevent nausea?
Treatments for nausea and hot flashes may involve a combination of lifestyle or dietary changes, along with prescription medications to help address the underlying causes.
A dietary change is one of the main lifestyle changes needed to reduce the risk of nausea during menopause. Menopausal women may want to avoid or decrease the consumption of alcohol, spicy foods, hot foods, hot beverages and caffeinated drinks.
Exercise, not smoking and reduced stress are also part of these lifestyle changes.
If the symptoms do not improve with lifestyle changes after three months, a doctor may recommend medications. These include HRT, oral contraceptive and selective serotonin reuptake inhibitors (SSRIs), a type of antidepressants.
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Wellness
Stardust period tracker shares health data, study reveals
Stardust shared sensitive period tracking data with third-party analytics firms, according to new privacy research from Mozilla.
The findings expose a privacy divide in femtech, where users often trust apps with highly sensitive reproductive health information.
The research was carried out by Mozilla’s Privacy Not Included team, which tested several period tracking apps.
It found that Stardust, a period tracker used by millions, shared users’ reproductive health data with analytics companies, a practice the research said contrasted with its privacy-first marketing.
Analytics companies collect and examine information about how people use digital products, often to help businesses understand user behaviour or improve marketing.
The findings raise questions about whether privacy promises made by health apps match what happens to users’ data.
According to research reported by TechCrunch, one other period tracking app tested by Mozilla received what researchers called a “squeaky clean” rating, suggesting similar services can operate without sharing sensitive health data in the same way.
Period tracking apps have come under greater scrutiny in the US since the 2022 overturning of Roe v Wade, which removed federal constitutional protection for abortion.
Some users and privacy advocates have warned that menstrual and reproductive health data could potentially be sought in legal cases.
The research also points to a broader regulatory problem for consumer health apps.
In the US, many health apps are not covered by HIPAA, the health privacy law that applies to medical providers and some healthcare organisations.
That means some consumer apps may be able to collect, share or monetise sensitive health data under rules that differ from traditional healthcare privacy protections.
The femtech market, estimated in the report at US$50bn, has grown quickly, but privacy regulation has not always kept pace with app development.
Stardust had not publicly responded to Mozilla’s findings at the time of the original report, and its privacy policy remained live on its website.
The issue is particularly sensitive for period tracking because the data can reveal patterns around fertility, pregnancy, contraception and reproductive health.
Mozilla’s wider Privacy Not Included initiative has examined consumer technology products for privacy and security concerns since launching in 2017, including connected devices, children’s toys and health apps.
The findings come as US lawmakers continue to debate stronger federal privacy rules for sensitive health information collected by consumer apps.
The American Data Privacy and Protection Act, which has been stalled in Congress since 2023, includes provisions addressing sensitive health information collected by consumer apps.
Experts have also warned that anonymised health data can sometimes be re-identified when combined with other information, such as location data.
Re-identification means linking supposedly anonymous data back to a specific person.
A 2019 study found that menstrual cycle data combined with location information could identify individual users with high accuracy.
State-level privacy laws in places such as California, Virginia and Colorado have also given consumers new rights around personal data, although enforcement can vary.
Privacy advocates say the research underlines the need for clearer data practices, stronger safeguards and greater transparency in femtech.
For users, the findings are a reminder that health apps do not automatically protect health information in the same way as healthcare providers.
The report suggests period tracker companies that put privacy first may be better placed to build trust in a market where long-term use depends on confidence.
Mozilla’s investigation suggests privacy promises in femtech do not always match practice, and that period trackers can function without sharing sensitive user data in the same way.
Hormonal health
Navigating the summer heat with a new sense of control

By Nolynn Palmer, science and partnership lead, EmaEQ and Heather Ritchie, COO, Embr Labs
Summer is reminiscent of many things: the smell of sunscreen, longer evenings, dedicated family time, vacations finally on the calendar, maybe even a wardrobe refresh.
There’s a particular kind of joy that settles in this time of year, a collective breath of excitement.
But for people living with Postural Orthostatic Tachycardia Syndrome (POTS), summer’s signature feature, heat, can turn that joy and excitement into something much harder to navigate.
POTS is a form of dysautonomia that disrupts the body’s ability to regulate blood flow when moving from lying down to standing.
Temperature dysregulation and heat intolerance are core symptoms in POTS.
Heat makes symptoms worse: blood vessels dilate, blood pressure drops, and symptoms like dizziness, fatigue, and heart palpitations intensify. What feels like a beautiful day to most can feel like an obstacle course to someone with POTS.
POTS affects an estimated 0.2 per cent to 1 per cent of the North American population, according to a 2020 NIH study; a figure that’s almost certainly undercounted, and one many researchers believe has grown significantly in the wake of COVID-19.
Roughly 75 per cent to 85 per cent of POTS diagnoses are female, and the average time from symptom onset to formal diagnosis is four to six years.
These individuals spend years researching their symptoms, becoming fluent in their own condition long before receiving a diagnosis.
Since launching its first-generation Embr Wave device, Embr has consistently heard from those with POTS looking for a solution for temperature intolerance and the symptoms that result.
Embr Wave’s temperature delivery system, providing immediate wearable cooling relief, maps directly to one of POTS’s most consistent symptoms, heat intolerance.
Embr’s implementation of Tempura, Embr’s app-based AI Assistant, has provided Embr with even more clarity on the impact Embr Wave can have in this statistically small population.
In the last 90 days, nearly 3 per cent of conversations with Tempura have touched on POTS. Relative to population prevalence, that’s a significant overrepresentation, confirming that individuals with POTS are actively seeking tools that are designed for their symptoms.
Embr Wave provides a model for how designing products for one use case, menopausal women managing hot flashes, can be found to have tremendous benefits for other populations.
The influx of advocacy by those with POTS led to a research study published this year that measured the improvement in Quality of Life factors when supported by thermoregulation wearables.
The product design by its nature, and how customers are using and talking about it, has had a snowball effect in the POTS community, amplifying awareness of a safe, always-available solution for this unmet need.
For someone with POTS, temperature isn’t a minor variable but a sizable trigger. Giving someone a way to manage temperature response hands them back a measure of control they didn’t have before.
Those in the Embr community living with POTS describe using their Wave devices both proactively and in-the-moment: some turn on their Wave’s cool-down signals before leaving the house or entering a crowded event, knowing what’s ahead.
Others use it reactively, when they feel their body beginning to respond poorly, and bring themselves back in balance.
Either way, Embr Wave provides its users with a sense of control around something they cannot control, their environment, allowing one to focus on and enjoy the moment.
No one should have to skip the places or events they love because their body can’t handle the heat. The goal is to help people stay in their lives fully, with less friction and more confidence in what their bodies can handle.
Nolynn Palmer holds a Masters of Global Public Health & Policy with a focus in Sexual & Reproductive Health & Rights. As the Science & Partnership Lead at EmaEQ, she leverages her knowledge of health policy and clinical science to advance AI safety and accuracy across the healthcare industry.
Heather Ritchie has a decades-long background in product management, launching enterprise and consumer solutions that improve health and wellness management. At Embr Labs, she serves as COO and leads the user design and market launch of Embr Wave (2nd Gen).
Hormonal health
Statins may worsen menopause symptoms, study suggess

Statins have been linked to more severe menopause symptoms and a higher risk of muscle loss in postmenopausal women, a study suggests.
The medicines are among the most widely prescribed in the world, with strong evidence supporting their use to lower cholesterol and reduce cardiovascular risk.
However, some recognised side effects may resemble symptoms associated with menopause, raising questions about how the two could interact.
The US Food and Drug Administration has flagged potential adverse effects linked to statin treatment, some of which overlap with menopausal complaints.
Researchers examined data from 1,184 postmenopausal women across nine Latin American countries, assessing menopausal symptoms, sarcopenia risk and cognitive function.
They compared women taking statins with non-users after accounting for factors including age and body weight.
As the study was cross-sectional, meaning it examined information collected at one point in time, it could identify associations but could not prove that statins caused the outcomes.
Women taking statins were 56 per cent more likely to have severe menopausal symptoms than those who were not using the medicines.
The difference remained after researchers accounted for other variables.
Statin users were also 65 per cent more likely to be at risk of sarcopenia.
Sarcopenia is the gradual loss of muscle mass and physical function, which tends to accelerate after menopause.
Declining oestrogen levels already make muscle loss a concern at this stage of life. It is linked to a higher risk of falls, fractures and reduced quality of life.
Musculoskeletal symptoms were reported by 53.1 per cent of statin users, compared with 33.9 per cent of non-users.
Researchers said this was separate from the finding on sarcopenia risk and may point to a wider pattern of physical discomfort among women taking the medicines.
Women taking statins also recorded slightly lower scores in tests of delayed memory recall and visuospatial function.
Visuospatial function is the ability to understand the position of objects and their relationship to one another.
The study found no overall association between statin use and mild cognitive impairment, so the differences in individual tests are early signals rather than firm conclusions.
Researchers said effects associated with statins may overlap with menopausal symptoms and add to the overall symptom burden during midlife.
This means symptoms attributed to menopause and possible statin side effects may look similar and, in some cases, could compound one another.
Further research is needed to separate the possible effects of the medicines from symptoms linked to menopause.
The findings are not a reason for women to stop taking statins.
Their cardiovascular benefits are well established, and stopping treatment without medical guidance can carry serious risks.
The study provides more information about what statin treatment may mean specifically for postmenopausal women, who have historically been under-represented in cardiovascular research.
Women who notice more severe menopausal symptoms or changes in muscle strength or physical function while taking statins should discuss them with a doctor.
A healthcare professional may consider whether the symptoms could be related to the medication and whether screening for muscle loss is appropriate.
They may also review whether the current statin remains the most suitable option, as different statins can have different side-effect profiles.
Resistance training and consuming enough protein are well-supported ways to help preserve muscle mass during midlife.
Statins can be life-saving, but the findings suggest their possible side effects should receive greater attention in postmenopausal women.
The study adds to evidence supporting more individualised care for women during midlife.
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