Perimenopause can feel like someone turned up the thermostat on your life. Whether you’re suddenly sweating through your clothes in a meeting or waking in the middle of the night with burning feet and a flushed face, you’re not imagining it. These heat surges aren’t just from the weather—they’re hormonal, and they can hit hard.

The classic symptoms of perimenopause—hot flushes and night sweats—are well known. But many women also experience burning sensations in the feet or hands, skin sensitivity, and heat intolerance, especially during the summer months^[1].

Why do we overheat during perimenopause?

Oestrogen doesn’t just regulate your menstrual cycle—it helps manage body temperature, circulation, and mood. As levels start to fluctuate (often wildly) during perimenopause, your brain can misinterpret small changes as overheating. Cue: sweating, flushing, and restlessness^[2].

What’s more, declining oestrogen affects the nervous system and skin, sometimes causing burning feet, tingling hands, or even electric shock–like sensations^[3], less common but very real symptoms many women don’t expect.

6 Ways to keep cool, naturally

1. Hydrate intelligently

Drink 1.5–2 litres of water daily, and add a pinch of sea salt or a splash of coconut water to restore electrolytes lost through sweating^[8].

2. Cool your feet

Soak burning feet in cool (not icy) water with Epsom salts. The magnesium helps ease nerve irritation and relax tense muscles^[9].

3. Wear breathable fabrics

Choose loose-fitting clothes made from cotton, bamboo or linen. Avoid synthetic materials which trap heat and can irritate sensitive skin.

4. Use cooling herbs

Sage tea, peppermint, red clover, and evening primrose oil have shown promise in reducing hot flushes and night sweats^[10]. 

5. Prioritise sleep

Keep your bedroom cool, dark, and quiet. Try sleeping with a fan, and avoid screens an hour before bed to support natural melatonin production^[11].

6. Mindful movement & rest

Exercise helps regulate temperature and stress, but overdoing it can backfire. Try gentle yoga, walking, or swimming, and listen to your body.

Gut Health: The foundation of menopause symptom relief

When it comes to managing perimenopausal symptoms, whether it’s hot flushes, burning feet, mood swings or sleep disruption, your gut health should be the first place you start when looking to manage your symptoms.

Think of it as the foundation of your menopause toolkit. Whether you’re taking HRT or not, a healthy gut sets the stage for better hormonal balance, stronger immunity, and a calmer nervous system^[4]. It also helps to:

1. Regulate oestrogen levels naturally

Certain gut bacteria, often referred to as the estrobolome, help break down and recycle oestrogen in the body. A balanced gut microbiome means fewer hormonal highs and lows, which can reduce hot flushes, mood dips, and more^[5].

2. Reduce systemic inflammation

Chronic inflammation, often driven by gut imbalances, can heighten symptoms like burning skin, joint pain, or general heat sensitivity^[6]. By supporting your gut, you’re helping your entire system stay calmer and more resilient.

3. Improve sleep, mood & stress response

The gut-brain axis directly affects how well you sleep, how stressed you feel, and how your nervous system responds to temperature and discomfort. A healthy gut helps modulate cortisol (stress hormone) and supports production of mood-stabilising serotonin^[7]

Feed your gut (with targeted support for women in perimenopause)

Gut health is foundational, but not all probiotics are created equal. If you’re in your 40s or 50s and navigating perimenopause, supporting your gut with targeted probiotic strains is one of the most effective steps you can take.

Why a targeted probiotic like Better Gut matters:

• Aids in oestrogen metabolism for fewer hormonal spikes
• Reduces bloating and gut sensitivity often triggered by stress and food changes
• Supports immune balance, which is crucial as hormone levels shift
• Helps calm burning sensations and flushes from the inside out

Pair with a fibre-rich, gut-loving diet:

• Eat prebiotic foods like leeks, asparagus, bananas, and oats
• Include fermented foods (as tolerated) such as kefir or sauerkraut
• Stay hydrated with water, herbal teas, and mineral-rich broths

Final thoughts: Thriving, not just surviving

Perimenopause is a natural phase of life, not a medical condition, but that doesn’t mean you have to suffer through it. Whether it’s blazing hot outside or your internal thermostat is having a moment, you can take back control with simple, science-backed strategies.

Start with your gut. Support it daily with targeted probiotics and nourishing foods. Hydrate. Cool down. And most importantly, listen to your body with compassion.

You’re not just powering through—you’re creating a foundation for the next vibrant chapter of life.

References

1. NHS. Menopause symptoms
2. British Menopause Society. Guidance on menopausal symptoms
3. Women’s Health Concern. Menopause Fact Sheet
4. National Institutes of Health (NIH). Gut microbiota and menopause: A review
5. Plottel, CS et al. “The human microbiome and estrogen metabolism.” Cell Press, Trends in Endocrinology & Metabolism.
6. Cani, PD. “Gut microbiota and inflammation.” Current Opinion in Clinical Nutrition, 2011.
7. Mayer, EA. “Gut/brain axis and the microbiota.” Journal of Clinical Investigation, 2015.
8. EFSA (European Food Safety Authority). Hydration guidelines
9. NIH. Magnesium: Fact Sheet for Health Professionals. NIH Magnesium
10. National Center for Complementary and Integrative Health. Herbs and Supplements
11. Sleep Foundation. Menopause and Sleep