All symptoms

Hot flushes and night sweats in perimenopause and menopause

Understand hot flushes and night sweats, what may help, and when these symptoms deserve medical support.

What it can feel like

A hot flush can feel like a sudden wave of heat through the face, neck, chest, or whole body. It may come with sweating, a racing feeling, flushing, or chills afterwards. Night sweats are similar episodes during sleep, and the bigger practical problem is often the broken sleep that follows.

What else can overlap

Heat, sweating, palpitations, fever, medication effects, thyroid problems, anxiety, alcohol, spicy food, caffeine, and infection can all overlap with hot flushes. The pattern matters: when it happens, how often, what else is going on, and whether periods or other symptoms have changed too.

What may help

Practical cooling can help some people: lighter layers, a cooler bedroom, a fan, breathable bedding, cool drinks, and noticing triggers such as alcohol, caffeine, spicy food, smoking, or stress. If symptoms are moderate or severe, options such as hormone therapy or non-hormonal approaches can be discussed with a clinician.

When to seek care

Seek care if sweats are severe, new, come with fever, unexplained weight loss, chest pain, fainting, or if they are disrupting sleep and daily function. Use care guidance rather than guessing if symptoms feel unusual for you.

Questions to bring to a visit

How often do the flushes happen? Are they mostly daytime, night-time, or both? Are there triggers? How much sleep or work is affected? What treatment options are suitable given your health history, medicines, contraception, and preferences?