My mother underwent a hysterectomy about 2 years ago. Since last year, she started experiencing symptoms such as hot flashes, tingling sensations, high blood pressure, and episodes of rapid heartbeat. After consultation, she was diagnosed with perimenopause/menopausal symptoms and was started on antidepressant medication, which significantly improved the hot flashes and some of the other symptoms. Recently, she has been experiencing irritation and swelling in her cheeks (the swelling has improved somewhat). She also continues to have episodes of feeling unusually warm or heated and irritated cheeks, during which her heartbeat increases. These symptoms usually improve after taking her prescribed medication. Could these current symptoms still be related to menopause, or should we investigate other possible causes ?