I am 49. Have had the hot face/flushing/and flushes for about 1.5 years now. How I "cope"...riiiiight. Coping with them certainly isn't a choice; a better way to say would be that we put up with and deal with them. Mine have been HORRIBLE. I practically cannot go anywhere without a fan and/or an ice pack. I have several fans: in my bedroom, in my living room, in the kitchen, at work on my desk (2; a small one for "good days" and a larger one for "bad days"). Whenever I flare up it is almost ALWAYS my face. My face burns and burns like an oven is right in front of it. Sometimes both sides, and often it's just one side - and if it's one side, the ear is severely hot too! It. Is. AWFUL. And because I suffer from anxiety too, any situation where I am even the last bit overly happy or sad or angry, increases the flushing and burning like you would not believe --- enter the ICE PACK. I have ice packs at home and at work - several. And when the burning is so bad that even a fan doesn't help much, I use an ice pack. So embarrassing to go in to a meeting at work and have to bring a small fan and/or an ice pack. And of course with everyone looking at me, it makes me anxious and embarrassed,so it makes my face even hotter! I half joke about it in the meeting -- or sitting at the doctor's in the waiting room -- saying, funny little things -- but really, I am MORTIFIED. The hot "body" flashes are another thing. They don't happen too, too often, and usually I just have to quickly unzip a layer of clothing and take it off (like a sweater/jacket); sit in front of the fan and I'm fine. Like I say, most of the time it is MY FACE. And once it is "exposed" - like going into a meeting or an appointment (doctor), or getting upset or angry, it "sets it off" for quite some time - sometimes hours - before it "settles down" with ice. And on top of this, when my face is burning hot, I'M FREEZING. So I have a fan and ice on my face and a blanket wrapped around me shivering (if I'm at home). I hate this and cannot wait for it to end! Sorry, had to pause there to take off my zip up sweater and turn on the fan - I'm getting overly warm just writing this! And speaking of sweaters (and I mean sweaters as a top - not a sweater you put on to go outside or if you are a bit chilly); I mean sweaters as tops (like instead of a t-shirt or blouse); I NEVER wear sweaters. I can't. I would, I'm sure, spontaneously combust and be forced to rip it off and be wearing just a blouse so am forced to only wear light items like t-shirts and other light fabric. No, I only wear sweater jackets if I'm chilly so that I am able to unzip them and rip them off at the first sign of a flash. Okay this is my first post and I have to get ready for work so I will end it here. I hope to hear from others to see if I am the only one with hot burning face/ear issues. Sometimes it is not the whole face, sometimes just little "areas" on the face - and the ear - it "picks" a side usually too. Sighhh....thanks for listening.