Have moderate to severe VMS, defined as 28 or more hot flashes per week (including night sweats) and were sufficient severity to prompt them to seek therapeutic intervention;
Are English-speaking;
Able to participate fully in all aspects of the study;
Have understood and signed study informed consent;
Have access to a computer or smartphone and home Wi-Fi;
Willing to participate in weekly VR sessions for 8 weeks.
You may not be if
Women receiving systemic menopause hormonal therapy (progesterone, testosterone, estrogen). Low-dose topical vaginal estrogen is okay;
Women receiving non-hormonal therapy for the management of hot flashes (fezolinetant or elinzanetant, any SSRI/SNRI, oxybytunin, and/or gabapentin being prescribed for hot flashes, if for other reasons and still with hot flashes then okay);
Women receiving active cognitive behavioral therapy (CBT) for hot flashes. CBT for mood symptoms is okay;
Have a known, active, untreated clinically significant psychiatric condition (severe depression, psychosis, bipolar disorder, or severe depression);
Have severe visual, auditory, or vestibular impairments that may interfere with VR use;
Have a facial/head deformity that will prohibit the wearing of a VR head mounted displace (HMD);
Self-reported history of acute and/or severe motion sickness;
Have had a seizure in the past year;
Concurrently enrolled in another intervention trial for menopause symptoms;
Have a known history of any condition or factor judged by the investigator to preclude participation in the study or which might hinder adherence.
