Hot flushes and night sweats are among the most recognised symptoms of perimenopause and menopause. They can disrupt sleep, affect confidence, worsen fatigue and make everyday life feel unpredictable.
Track My Symptoms Book AssessmentA sudden wave of heat, often felt in the face, neck, chest or upper body.
Some women experience light sweating, while others may sweat heavily.
A hot flush may be accompanied by palpitations or a feeling of anxiety.
Hot flushes during sleep can cause waking, sweating and poor rest.
Some women feel cold or shivery after the heat passes.
Repeated night sweats can lead to fatigue, brain fog and irritability.
Hot flushes are linked to changes in hormone signalling and temperature regulation during the menopause transition. The body becomes more sensitive to small changes in temperature, which may trigger sudden heat and sweating.
Triggers can differ from woman to woman, but commonly include:
Waking repeatedly reduces sleep quality and recovery.
Interrupted sleep often leads to low energy the next day.
Sleep disruption can affect concentration, memory and focus.
Poor sleep can worsen irritability, anxiety and emotional resilience.
Sleep loss can affect appetite, cravings and metabolic health.
Symptoms may affect work, relationships, exercise and confidence.
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Tracking hot flushes and night sweats over time can help identify patterns, triggers and treatment response.
How often hot flushes occur.
How intense each episode feels.
Whether they happen during the day, evening or night.
How much symptoms interrupt sleep.
Food, stress, alcohol, caffeine or temperature patterns.
Whether symptoms improve after lifestyle or medical support.
They are a common symptom of perimenopause and menopause, although other causes should be considered if symptoms are unusual.
Some women experience them briefly, while others have symptoms for several years.
Hormone therapy can be effective for many suitable women, but treatment should be individualised.
Identifying triggers, improving sleep, reducing alcohol, managing stress and supporting metabolic health may help some women.
Track your symptoms, understand your triggers and discuss treatment options with a healthcare professional.
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