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.

Menopausal hot flashes and night sweats are common vasomotor symptoms that negatively affect quality of life. This randomized controlled trial investigates the effectiveness of a 6-week cold shower therapy as a non-pharmacological intervention for reducing these symptoms. Eligible menopausal women will be randomly assigned to an intervention group or a control group. The intervention group will receive cold shower therapy for six weeks, while the control group will receive routine care. Outcomes will be assessed before and after the intervention using validated measurement tools. The study aims to determine whether cold shower therapy is an effective, safe, and low-cost method for managing menopausal vasomotor symptoms.

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