Introduccion: las oleadas de calor (OC) son un importante indicio con prevalencia diferente segun etnias, del estado menopausico. El objetivo de nuestra investigacion fue evaluar la frecuencia y severidad de OC, y estimar en mujeres sintomaticas el riesgo de otros sintomas menopausicos concomitantes. Metodo: estudio transversal como parte del proyecto CAVIMEC (Calidad de Vida en la Menopausia y Etnias Colombianas), realizado con la escala ‘Menopause Rating Scale’ en indigenas colombianas Zenues, resguardo de San Andres de Sotavento, (Cordoba, Colombia), con edades entre 40 y 59 anos. El analisis de los resultados se realizo en Epi-Info. 3.5.1 (Centers for Disease Control and Prevention, Atlanta, EEUU; 2008). Resultados: 596 (86.0%) de las 693 involucradas presentaron OC y solo el 1% mostro manifestacion severa. Las mujeres sintomaticas tenian 1.2±5.7 anos; escolaridad 4.6±4.6 anos; 88.4% con pareja 98,2% con hijos, y 14.9% usaban terapia hormonal. 4.5% premenopausicas, 12.6% perimenopausicas y 62.9% posmenopausicas. La prevalencia de OC moderada + severa, se incremento con los cambios en el estado menopausico. Fueron factores de riesgo la baja escolaridad y una edad mayor a 45 anos. Sequedad vaginal, problemas vesicales y sexuales tuvieron elevado OR para presentarse concomitantemente en un modelo ajustado. Conclusion: fue elevada la presencia de OC en Zenues, pero baja la presencia de sintomas severos. Los sintomas urogenitales tuvieron importante presencia concomitante. Abstract Introduction: hot flashes (HF) are an important clue with different prevalence by ethnicity, menopausal status. The aim of our research was to evaluate the frequency and severity of HF, and estimate the risk of symptomatic women other menopausal symptoms attendant. Method: cross-sectional study as part of the CAVIMEC (Quality of Life Menopause and Colombian Ethnic groups), performed with the scale ‘Menopause Rating Scale’ in Colombian Zenues indigenous shelter of San Andres de Sotavento, (Cordoba, Colombia), aged between 40 and 59 years. The analysis of the results was performed using Epi-info. 3.5.1 (Centers for Disease Control and Prevention, Atlanta, USA, 2008). Results: 596 (86.0%) of the 693 involved had HF and only 1% had severe manifestation. Symptomatic women were 51.2 ± 5.7 years, education 4.6 ± 4.6 years, 88.4% with 98.2% couples with Children, and 14.9% used hormone therapy. 4.5% premenopausal, 12.6% perimenopausal and postmenopausal 62.9%. HF prevalence moderate + severe increased with changes in the menopausal state. Risk factors were low education and age older than 45 years. Vaginal dryness, bladder and sexual problems were presented concomitantly elevated HFor an adjusted model. Conclusion: the presence of HF was elevated in Zenues but low presence of severe symptoms. Urogenital symptoms had concomitant significant presence. Keywords Menopause, Indigenous Groups; Climacteric, Flushing, Female UrogenitalDiseases.