Pratt's poem takes the dull, medical-sounding phrase "hot flashes" and argues the opposite: they are anything but humdrum. She piles up bright adjectives and then images of heat, from volcanoes and wildfire to blast furnaces and a balloon drifting over cornfields. The speaker's tone is playful and teasing. She pictures women fanning themselves, peeling off sweaters "like aged strippers gone mad," frightening the cats, and throwing open windows to the snow. Even the flush on a tired face gets called charming.
Underneath the jokes, the mood shifts. The speaker admits that a hot flash surprises us almost as much as birth, love, or death. Fertility is barely familiar, and then it's gone. In the final lines, a woman looks in the mirror and sees her grandmother's face, not her mother's, yet the eyes are still her own. The poem moves from comedy to a quiet, wondering acceptance of aging.