Prevalence and Predictors of Night Sweats, Day Sweats, and Hot Flashes in Older Primary Care Patients: An OKPRN Study

James W. Mold; Michelle Roberts; Hesham M. Aboshady

doi:10.1370/afm.72

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Low testosterone levels and hot flashes
James W Mold

Published on: 15 February 2010
treatment
Dan C Hood

Published on: 15 February 2010
Authors Respond to Comments on Panic Attacks as Cause of Hot Flashes
James W. Mold

Published on: 01 November 2004
Underlying panic disorder?
David A Katerndahl

Published on: 29 October 2004
OKPRN Study
Lawrence I. Silverberg

Published on: 25 October 2004

Published on: (15 February 2010)
Page navigation anchor for Low testosterone levels and hot flashes
Low testosterone levels and hot flashes
James W Mold, OKC, OK, USA
Yes, low testosterone levels seem to be associated with hot flashes in men. This is particularly true when the testosterone deficiency is acute and complete as seen in the treatment of prostate cancer. However, it also seems to be true in men with partial testosterone deficiencies ("male menopause").
Competing interests: None declared

Competing Interests: None declared.
Published on: (15 February 2010)
Page navigation anchor for treatment
treatment
Dan C Hood, Battle Creek, USA
Does low testosterone (causing high GnRh) cause hot flashes? Is this responsive to treatment with testosterone?
Competing interests: None declared

Competing Interests: None declared.
Published on: (1 November 2004)
Page navigation anchor for Authors Respond to Comments on Panic Attacks as Cause of Hot Flashes
Authors Respond to Comments on Panic Attacks as Cause of Hot Flashes
James W. Mold, Oklahoma City, OK, USA
Since we were using an existing database, we could not include more specific questions about panic attacks. We agree that they are probably an important cause of hot flashes and perhaps night sweats and day sweats.
Competing interests: None declared

Competing Interests: None declared.
Published on: (29 October 2004)
Page navigation anchor for Underlying panic disorder?
Underlying panic disorder?
David A Katerndahl, San Antonio, USA
I wish to complement Mold et al on their investigations on sweats and hot flashes. We desperately need more such symptom-based PBRN studies. One point that was insufficinetly emphasized (in my opinion) was the potential role of panic disorder in these results. Despite the association in their previous study, they did not specifically ask about panic attacks. Yet, their findings may be due in large part to coexisting p...
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I wish to complement Mold et al on their investigations on sweats and hot flashes. We desperately need more such symptom-based PBRN studies. One point that was insufficinetly emphasized (in my opinion) was the potential role of panic disorder in these results. Despite the association in their previous study, they did not specifically ask about panic attacks. Yet, their findings may be due in large part to coexisting panic. Not only are both sweats and hot flashes part of the criteria for panic attacks, but several of the associated variables (numbness in hands and feet, lightheadedness, nervous spells) are as well. In addition, the noted relationship between depression and night sweats may, in fact, be due to an unrecognized but common association between depression and panic disorder. As good as this study is, it might have been even more helpful if panic disorder had been specifically addressed in data collection.
Competing interests: None declared
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Competing Interests: None declared.
Published on: (25 October 2004)
Page navigation anchor for OKPRN Study
OKPRN Study
Lawrence I. Silverberg, Ellicott City, U.S.A.
My compliments to the authors of this study. Not only is the methodology impressive but they have undertaken the task of exploring important symptomatology to the primary care physician. Although this article was not intended as the discussion of the differential diagnosis, I want to mention the disease of Polycythemia Vera when considering etiologies. From a study done at Johns Hopkins it appears even hematologists...
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My compliments to the authors of this study. Not only is the methodology impressive but they have undertaken the task of exploring important symptomatology to the primary care physician. Although this article was not intended as the discussion of the differential diagnosis, I want to mention the disease of Polycythemia Vera when considering etiologies. From a study done at Johns Hopkins it appears even hematologists fail to consider this orphan disease when its symptomatology presents. Due to be enormous erythroid turnover, iron deficiency with its accompanying symptoms can occur. Aquatic pruritus and the erythromyalgia frequently occur. In that the population mentioned here is of high risk, and immediate treatment essential for PV I would like to advocate for consideration in the differential diagnosis. I continue to enjoy exploring The Annals Of Family Medicine. LIS
Competing interests: None declared
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Competing Interests: None declared.