Introduction
redness, pain, vasomotor dysfunction, upper thoracic spine, chills
Hot flashes, the most common symptoms of perimenopause, are characterized by sudden fluctuations in body temperature, as well as redness and profuse sweating of the face and neck, sometimes accompanied by chills (Hormone replacement therapy is by far the most effective treatment for hot flashes(Some nonhormone replacement therapies or drug therapies are currently available. Paroxetine, a selective 5-hydroxytryptamine reuptake inhibitor (SSRI), is an effective and safe drug that has been approved for the relief of hot flashes as it significantly reduces hot flash scores despite being less effective than hormone replacement therapy (A stellate ganglion block (SGB) is a well-established technique that is widely used to relieve sympathetic-mediated pain and improve vasomotor dysfunction by blocking the sympathetic ganglia in the lower cervical and upper thoracic spine with local anesthetic agents (The exact mechanism by which SGB relieves hot flashes has not yet been clarified. It is hypothesized that SGB may relieve hot flashes by temporarily blocking the central temperature regulation mechanism (