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More than 80 percent of women will continue to have hot flashes for more than one year. When untreated, hot flashes diminish and then cease spontaneously within a few years in most women, but may persist in others. Hot flashes continue in 12 to 15 percent of women in their sixties, and 9 percent after age 70 years. You should try paroxetine, citalopram, or escitapram. They also work for anxiety. If the hot flashes are significant at night, you should try gabapentin. You should see your primary care doctor to have the prescription.