“If hot flashes and night sweats are disrupting your
daily activities and sleep, HT may improve sleep and fatigue,
mood, ability to concentrate, and overall quality of life”.1

Umbrella
What may the Night Sweats Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Hot Flashes/Flushes At Night
  • Hot Flashes/Flushes That Occur During Sleeping
  • Night Sweats
  • Sweats
  • Vasomotor Symptoms

Definition

What are night sweats?

DotS the definition of night sweats may vary. The North American Menopause Society’s (NAMS) definition is:

“Night sweats are hot flashes at night that interfere with sleep”.2

The Australasian Menopause Society’s (AMS) definition is:

“Night sweats are episodes of profuse sweating at night, either alone or just after a hot flush”.3

Vasomotor Symptoms

What are vasomotor symptoms?

DotS the definition of vasomotor symptoms may vary. The NAM’s definition is:

Vasomotor symptoms. Also known as hot flashes and night sweats, common symptoms during perimenopause and early postmenopause”.4

Severity

Is the severity of night sweats one-size-fits-all?

In NonHormonal Treatments for Menopausal Symptoms: Hot Flushes and Night Sweats (Vasomotor Symptoms) the AMS elaborate on:

“These symptoms range in severity from minor irritation to a major disruption in quality of life”.5

Irritability

Is there an association between irritability and night sweats?

In Menopause 101: A Primer for the Perimenopausal – Common Body Changes At Menopause: Night Sweats the NAMS elaborate on:

“While it’s a myth that menopause itself makes women irritable, the sleep disturbances that stem from hot flashes and night sweats can certainly make a woman irritable”.6

Strategies

What are some strategies to get relief from night sweats?

In Five Solutions for Menopause Symptoms – 3. Night Sweats the NAMS suggest:

“To get relief from night sweats (hot flashes that occur during sleep), try different strategies to stay cool while you sleep:

  • Dress in light nightclothes
  • Use layered bedding that can easily be removed during the night
  • Or, try wicking materials for both
  • Cool down with an electric fan
  • Sip cool water throughout the night
  • Keep a frozen cold pack under your pillow and turn over the pillow often so that your head is always resting on a cool surface, or put a cold pack on your feet”.7

Treatment

What are some treatments for night sweats?

The NAM’s explain:

“Treatments for night sweats and hot flashes include lifestyle changes, nonprescription remedies, hormone therapy (with estrogen plus progestogen, or estrogen alone for women without a uterus), and nonhormonal prescription drugs”.8

Hormone Therapy

What may hormone therapy (HT) improve?

On page one in Deciding About Hormone Therapy Use: Potential Benefits published July 2022, the NAMS elaborate on:

Night Sweats“If hot flashes and night sweats are disrupting your daily activities and sleep, HT may improve sleep and fatigue, mood, ability to concentrate, and overall quality of life”.9

On page two in Deciding About Hormone Therapy Use: Hormone Therapy Options the NAMS also note:

“Each woman must make her own decision about HT with the help of a healthcare professional. If you decide to take HT, the next step is to choose between the many HT options available to find the best dose and route for you. With guidance from your healthcare professional, you can try different forms of HT until you find the type and dose that treats your symptoms with few adverse effects”.10

On page two in the Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause first published 10 June 2022, one of the recommendations about hormone replacement therapy (HRT) is:

  • “The decision whether to take HRT, the dose and duration of its use should be made on an individualised basis after discussing the benefits and risks with each patient. This should be considered in the context of the overall benefits obtained from using HRT including symptom control and improving quality of life as well as considering the bone and cardiovascular benefits associated with HRT use. Discussions with women should also cover aspects such as when to consider stopping HRT and how this can be done (by gradually reducing the dose of HRT). No arbitrary limits should be set on age or duration of HRT intake”.11

Health Care Provider

What if I would like help with my night sweats?

If you would like help with your night sweats, it may be in your best interest to choose to talk to your health care provider about this. In Menopause: Diagnosis & Treatment – Treatment the (United States) Mayo Clinic encourage us to seek help explaining:

“Before deciding on any form of treatment, talk with your doctor about your options and the risks and benefits involved with each. Review your options yearly, as your needs and treatment options may change”.12

Health Topics A-Z

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Links

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Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Deciding About Hormone Therapy Use: Potential Benefits. 2022:1. North American Menopause Society https://www.menopause.org/docs/default-source/professional/menonote-deciding-about-ht-2022.pdf Accessed: 22 September 2022
  2. Menopause 101: A Primer for the Perimenopausal – Common Body Changes At Menopause – Night Sweats. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/menopause-101-a-primer-for-the-perimenopausal Accessed: 22 September 2022
  3. NonHormonal Treatments for Menopausal Symptoms: Hot Flushes and Night Sweats (Vasomotor Symptoms). Content Updated: September 2018. Australasian Menopause Society https://www.menopause.org.au/hp/information-sheets/600-nonhormonal-treatments-for-menopausal-symptoms Accessed: 22 September 2022
  4. Glossary: V – Vasomotor Symptoms. North American Menopause Society http://www.menopause.org/for-women/menopause-glossary#V Accessed: 22 September 2022
  5. NonHormonal Treatments for Menopausal Symptoms: Hot Flushes and Night Sweats (Vasomotor Symptoms). Content Updated: September 2018. Australasian Menopause Society https://www.menopause.org.au/hp/information-sheets/600-nonhormonal-treatments-for-menopausal-symptoms Accessed: 22 September 2022
  6. Menopause 101: A Primer for the Perimenopausal – Common Body Changes at Menopause: Night Sweats. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/menopause-101-a-primer-for-the-perimenopausal Accessed: 22 September 2022
  7. Five Solutions for Menopause Symptoms – 3. Night Sweats. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/five-solutions-for-menopause-symptoms Accessed: 22 September 2022
  8. Menopause 101: A Primer for the Perimenopausal – Common Body Changes At Menopause – Night Sweats. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/menopause-101-a-primer-for-the-perimenopausal Accessed: 22 September 2022
  9. Deciding About Hormone Therapy Use: Hormone Therapy Options. 2022:2. North American Menopause Society https://www.menopause.org/docs/default-source/professional/menonote-deciding-about-ht-2022.pdf Accessed: 22 September 2022
  10. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause. First published online 10 June 2022:3-4. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 22 September 2022
  11. Menopause: Diagnosis & Treatment – Treatment. 14 October 2020. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/diagnosis-treatment/drc-20353401 Accessed: 22 September 2022
Topic Last Updated: 22 September 2022 – Topic Last Reviewed: 22 September 2022

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