Having control of the paddle fan remote at night! I sleep in short pajamas year-round (except once the last child goes off to college next fall - then it will be clothing-optional!), keep the heat down at 60 at night and my husband just puts on warmer pajamas and has extra blankets. He hasn't complained although he did get chilly at night during the summer when I had the paddle fan on full force. My neighbor actually confessed that he often sleeps in another bedroom than his wife.
I found that it goes in spurts. During the summer, it was awful, but now that it's colder, I've been more comfortable at night. During the day, I wear layers.
Unfortunately, my OB/GYN told me that he has 80-year old patients who are still having hot flashes. I'm not about to start taking hormone treatment, so I'm eager to hear if anything has worked for anyone else. I think I had heard Vitamin E?