I also have those hot flushing issues. I'm close to the menopause age but I have had this for over 10 years??
it seems impossible to discover what is lyme and what is not - since lyme can apparently mess with just about anything in our bodies/minds - I have had sooo many things 'crop-up' since the tick-bite - previously I was rarely aware of any health probs. - I guess it is the same for most of us here - pre-lyme.
I've read that Lyme bacteria particularly enjoy setting up camp in the bladder and the irritation . I sometimes get that "gotta go -- again!" situation, but it comes and goes.
I also get sweats/warm flashes but it's unknown at this point whether it's hormones or infection from a more recent tick bite. Could be both.