Effect of Cold Shower Therapy on Hot Flashes And Night Sweats in Menopausal Women

This randomized controlled trial aims to evaluate the effect of a 6-week cold shower therapy on hot flashes and night sweats in menopausal women. Participants will be randomly assigned to either a cold shower therapy group or a control group. The primary outcome is the change in the frequency and severity of hot flashes and night sweats after the 6-week intervention.

Inclusion Criteria: * Able to read, write, and understand the study procedures. * Women aged 40-65 years. * Postmenopausal women experiencing hot flashes and/or night sweats. * Not receiving hormone replacement therapy (HRT) for vasomotor symptoms. * No known medical contraindication to cold shower therapy. * Willing to participate and able to provide written informed consent. Exclusion Criteria: * History of serious chronic diseases that may affect hemodynamic stability (e.g., cardiovascular disease, uncontrolled hypertension, renal failure, or liver failure). * Current use of antidepressant or antipsychotic medications, or diagnosis of a severe psychiatric disorder. * Regular use of cold shower or cold-water therapy before enrollment. * Incomplete completion of study questionnaires or data collection forms