I am normally very outgoing but there are times when I am with a crowd, at church or just a little anxious I suddenly have a hot flash. Sometimes my ears will just feel like they are on fire and then it's my face, just out of the blue. At night I suffer (not every night) but from the sweaty hot flashes. Am almost 60, had total hysterectomy 12 yrs. ago. Dr. has me on .3 mg of premarin and then I take testosterone (compounded at pharmacy), the lowest dose. Really gets old tho and doesn't help my sleeping problems at all.