# Sources and context Checked 3 November 2026. Avis et al. · SWAN · 2015: https://pmc.ncbi.nlm.nih.gov/articles/PMC4433164/ Median duration · frequent hot flashes or night sweats The 7.4-year estimate is the median total duration of frequent vasomotor symptoms in an analytic sample of 1,449 SWAN participants. Frequent means hot flashes or night sweats on at least 6 of the previous 14 days at one or more visits. This is observational cohort evidence, not a universal duration or individual prediction. DOI: 10.1001/jamainternmed.2014.8063.