Excessive sweating during menopause

Hormonal changes can make the body’s temperature control more reactive. A hot flush may bring a sudden wave of heat followed by sweating, flushing, and chills; night sweats can disturb sleep and leave clothing or bedding damp. Menopause is not the only possible explanation: hyperthyroidism, hypoglycaemia, heat exhaustion, and obstructive sleep apnoea can also involve sweating. The Excessive Sweating page covers patterns outside menopause.

Note timing, food or drink triggers, room temperature, sleep disruption, medicines, and menstrual changes if relevant. Use light layers, ventilate the bedroom, keep spare clothing nearby, and replace fluids after heavy episodes. A clinician can review hormone-related options, non-hormonal approaches, and whether a skin-directed option such as Botox For Sweating is appropriate for a particular area. Do not start or stop hormone treatment without medical advice.

Arrange an assessment if sweating is new after a long stable period, becomes persistent, or comes with fever, unexplained weight change, tremor, palpitations, swollen glands, cough, or marked fatigue. Seek urgent help for fainting, confusion, chest discomfort, severe weakness, breathing difficulty, or signs of overheating.

Do these episodes fit hot flushes, or should another cause be investigated? Which treatment matches my health history? Could a medicine be contributing, and what should I do when night sweats disrupt sleep?