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Clinical Hypnosis
vs
Stellate Ganglion Block

A side-by-side comparison of two menopause relief methods — efficacy, cost, how they work, and who shouldn't use them.

Side-by-side comparison

Method
Clinical Hypnosis

Clinical Hypnosis

A therapist-guided technique using focused attention and suggestion to reduce hot flash frequency and severity.

Stellate Ganglion Block

Stellate Ganglion Block

An injection of local anesthetic into a nerve bundle in the neck that may interrupt hot flash signals for several months.

Efficacy80% reduction in hot flash score

Around 80% reduction in hot flash score.

Recommended (limited evidence) see details

Recommended with limited evidence by the Menopause Society.

Cost$100–$250 /per unit

Insurance: Varies

$500–$1,500

Insurance: No

Duration5 weekly sessions (about 45 minutes each)Up to 6 months per injection (based on the Walega 2014 trial endpoint)
ReversibilityReversibleReversible
STI ProtectionNoNo
How it works

Clinical hypnosis uses focused attention, relaxation, and suggestion to alter the perception and frequency of hot flashes. The exact mechanism is not fully understood but may involve modulation of autonomic nervous system activity.

A clinician injects local anesthetic into the stellate ganglion, a nerve bundle in the neck that is part of the sympathetic nervous system. This may interrupt the temperature-regulation signals that trigger hot flashes.

PrescriptionOTC Therapist-delivered (no Rx)Required Prescription required
Available Products1 productNo branded products yet
Side effects
  • None reported in trials
  • Temporary hoarseness
  • Drooping eyelid (Horner's syndrome, temporary)
  • Nasal congestion
  • Arm weakness (temporary)
  • Rare serious complications (seizure, cardiac arrest if injected into blood vessel)
Who shouldn't use thisNone reported
  • Active anticoagulation therapy
  • Local infection at injection site
  • Severe bleeding disorder
  • Allergy to local anesthetic