I get dizzy spells sometimes before I have a hot flush, is this associated with menopause

Dizziness before a flush is actually very common and many women will experience this or something similar. Just check that you are drinking plenty of plain water as dehydration could be a contributory factor. However, dizziness can be caused by other issues so if it gets worse or happens independently of a flush it is best to check with your doctor.
 
Eileen Durward