Objective: To measure core body temperature by ingested radiotelemetry
pill and rectal temperature during menopausal hot flushes under contr
olled laboratory conditions. Design: Patients were recorded during sle
ep using both methods in a sound-proofed, temperature- and humidity-co
ntrolled laboratory room. Setting: University medical center. Patients
: Eight postmenopausal women who were amenorrheic for greater than or
equal to 1 year and reported frequent hot flushes. Results: Thirty-sev
en hot flushes were detected by criterion increases in sternal skin co
nductance level. Significant increases in telemetered but not rectal t
emperature occurred before 24 of the hot flushes. Conclusions: Core bo
dy temperature elevations precede a majority of menopausal hot flushes
and serve as one trigger of this heat-loss phenomenon.