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Menopausal sweating

 
, medical expert
Last reviewed: 04.07.2025
 
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A woman, due to her physiology, cannot avoid menopause: the cessation of sexual function is inevitable. In psychological terms, this is stress. These are also cardinal changes in health and lifestyle. As a rule, there is another factor: sweating during menopause.

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Causes menopausal sweating

Rarely does anyone manage to avoid excessive sweating. It causes discomfort and irritation, uncertainty and isolation, a feeling of fear not only of old age, but also of potential illness. The absolute majority, and according to statistics, this is 90% of women, are subject to hot flashes and profuse sweating. Every woman who is in menopause should know the reasons for sweating: then she will be mentally prepared.

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Pathogenesis

The medical term "pathogenesis" refers to the mechanisms of developing disease and the processes that accompany it. During sweating, which is especially evident during menopause, the hormonal background in the body changes - estrogen production decreases, which in turn affects the thermoregulation center. As soon as there is an estrogen deficiency, the brain, or rather one of its areas - the hypothalamus, receives a false signal about overheating of the body. And then the mechanism that ensures the release of heat is activated. Then what happens:

  • peripheral vasodilation or hot flashes;
  • increased heart rate;
  • profuse sweating.

It is impossible not to notice this. But, knowing the reason, you can and should perceive the hot flashes without unnecessary anxiety.

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Symptoms menopausal sweating

Heavy sweating during menopause, especially frequent night sweats and sudden hot flashes are the first signs of the onset of menopause. At the same time, there is a failure with menstruation: they are irregular, the cycle changes, decreasing or lengthening, it can simply be missed. Bleeding can be more or less profuse.

Returning to the symptoms of sweating, it should be noted that it is impossible to hide them: sweat is secreted so abundantly. And almost simultaneously, the woman feels chills. At the same time, the process of sweating is often accompanied by a contrasting symptom, when dryness appears in the mouth and in all mucous membranes. Another obvious symptom: hair quickly turns gray and becomes brittle.

Complications and consequences

The very fact of sweating, followed by chills, often strong and prolonged, suggests the possibility of a cold. But a disease with the same symptom is also possible - for example, tuberculosis. The consequences and complications of sweating accompanying menopause are not dangerous only if they are temporary and caused by age-related changes occurring in the female body. In this case, intense sweating abruptly followed by chills affects the general well-being of a woman for some time. This is typical for menopause.

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Diagnostics menopausal sweating

As a rule, complex studies of profuse sweating in a woman who has entered or is in menopause are not required. But it is necessary to exclude a parallel disease with similar symptoms. Hormonal tests will help:

  • determination of follicle-stimulating hormone in the blood;
  • for estradiol - the main sex hormone in women. During menopause it will be below normal - 70 pmol/l;
  • LH or luteinizing hormone, indicating the maturation of the egg and ovulation, i.e. fertilization by sperm. If a woman has entered menopause, the LH level increases to 40-60 IU/l and more.

Based on the results of these three hormone tests, hormone therapy can be prescribed during climacteric syndrome, if necessary.

Diagnosis of sweating during menopause will also tell about a woman's condition. Having felt the first "attacks" of profuse sweating, it is necessary to make sure of the probability of the approaching menopause. This can be done by conducting a special test for the level of FSH (follicle-stimulating hormone) in the urine. Special diagnostic strips, freely available in pharmacies, are used for the test. 2-3 positive tests are enough to say with a high probability that hot flashes and sweating mean the onset of premenopause, and then menopause.

But you can't limit yourself to this: menopause is a kind of platform for the development and exacerbation of cardiovascular diseases, metabolic disorders, skin diseases, etc. If you are alarmed by profuse and prolonged sweating, an examination by a gynecologist alone is not enough. Consultations with a cardiologist, endocrinologist, and neurologist are required. Already having the results of the analyses and tests mentioned above, a histological scraping of the uterus, a cytological examination of smears, which must be analyzed dynamically, and a basal temperature chart are carried out.

Differential diagnostics is also essential. Its role is to distinguish:

  • premature cessation (40 years) of ovarian function;
  • thyroid disease;
  • hormonally active tumor or pheochromocytoma;
  • psychopathy and accompanying panic attacks;
  • increase in blood prolactin or hyperprolactinemia;
  • tuberculosis;
  • infectious diseases.

To establish an accurate diagnosis in particularly difficult cases, instrumental research methods such as abdominal ultrasound, chest X-ray, and mammography are also used.

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Differential diagnosis

Differentiating menopause and its symptoms from other diseases is vital. Otherwise, the wrong treatment may be prescribed. Its consequences are often irreversible. It is enough to name developing diabetes as an example, in which a woman may also experience hot flashes and profuse sweating. Its treatment requires a completely different method than in menopause.

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Treatment menopausal sweating

During menopause and the hot flashes that accompany it, many women do without treatment. This is a natural process that in most cases ends well. But if there are chronic diseases, or the intensity of sweating and hot flashes increases, then treatment of hot flashes during menopause is necessary. The first step is to eliminate the provocation. It must be remembered that the lifestyle that a woman leads serves as a springboard for psychological stress. If the intensity of hot flashes does not decrease even with an adequate regimen for menopause, then the doctor may decide to treat them.

Medicines: Pills for sweating during menopause

The most effective method is considered to be HRT - hormone replacement therapy drugs. The estrogens included in them are saturated with sex hormones. These are tablets for sweating during menopause. They normalize excessive sweating, reduce sweating and heat. And for stabilizing the psycho-emotional state, the drugs are irreplaceable. They even out the mood, strengthen memory and sleep, and resist nervous irritation. Among them:

  • a Russian-made drug Kliofit. Its components are coriander, rose hips, hawthorn, anise, motherwort, yarrow, mint, plantain, eleutherococcus. The composition itself indicates the sedative effect of the elixir. It normalizes sleep, relieves dizziness and hot flashes;
  • Lerivon tablets from a Dutch manufacturer, cumulative, lasting 2-3 weeks, action. Effective and safe compared to other antidepressants, antixiolytic action, normalizing sleep. Do not cause addiction. But require abstinence from dangerous activities that require increased attention and fast motor skills. Doses are set individually for a specific patient;
  • Czech Novo-Passit is a solution and tablets that have become widespread due to the natural composition of the components. Practice confirms a beneficial effect on a woman's hormonal background. The use of Novo-Passit relieves shortness of breath, headaches, eliminates heart palpitations, and normalizes sweating. The daily dose is prescribed depending on individual tolerance: 1 tablet 3 times a day or 1 teaspoon 3 times. The drug is also convenient because it can be taken with tea and juices;
  • Persen (made in the Czech Republic) consists of lemon balm, valerian and mint in the form of their extracts. In addition to relieving sweating, it normalizes sleep, heartbeat, and counteracts nervous tension. It is available as pills and capsules. Persen is taken up to 3 times a day, 1 drop or 2 pills an hour before bedtime.

These medications can be used together with other medications prescribed by a doctor for therapeutic treatment. There have been no cases where surgical treatment of sweating during menopause was used.

Folk remedies

There is no reason not to trust the recipes that are part of folk medicine: they have been used from generation to generation. Today, alternative medicine works in parallel with traditional medicine. It has cured or positively corrected the health of tens of thousands of patients. There are proven methods of relief during menopause, when a woman suffers from hot flashes and sweating. The most accessible is a hot foot bath before bed. The water temperature is about 40 degrees, the time is from 20 to 30 minutes. After keeping your feet in such a bath, they should be dried well and go to bed. And if you take contrast foot baths before bed, when you keep your feet in hot water for 4-5 minutes, then half a minute in cold water, or rather, at room temperature, the effect will be enhanced.

For many women, sage is a salvation from sweating during menopause. An affordable remedy can be bought without a prescription at a pharmacy. After brewing 3 teaspoons in a quarter liter of boiling water, you need to drink this herbal tea warm and just before bed.

Traditional healers also recommend rosemary decoction. A tablespoon of its leaves should be poured with a glass of boiling water and kept on low heat for 20 minutes. Strain and take half an hour before meals 2-3 times a day.

Hawthorn tincture is effective and can always be bought at a pharmacy. It is enough to take 30 drops three times a day to reduce hot flashes and normalize sleep.

You can also drink linden tea, which is brewed like regular tea. There are other ready-made herbal mixtures recommended for hot flashes and sweating.

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Homeopathy

Whether it is possible to correct the situation with homeopathic preparations is no longer a question today. Homeopathy has a unique property: the principle of its work is that like is excluded by like. In the case of profuse sweating and hot flashes during menopause, homeopathic preparations are introduced into the body to provoke the disease. In this case, the cause of the pathology is potentiated. And the body is forced to cope with it itself. As a result, insomnia and depression are eliminated, nervous activity returns to normal. All this means the restoration of physiology, its original reactions.

As for permission to treat with homeopathic drugs, it was given by the Ministry of Health. Therefore, in pharmacies you can buy "Klimakt-Hel", "Remens", "Sepia", etc.

Homeopathic lozenges "Klimakt Hel" consist of many components - sanguinaria canadensis, ignatia, cedron, etc., which determine the reduction of increased nervous excitability and hot flashes during menopause. Take 3 times a day 30 minutes before meals or an hour after. The course of treatment lasts from 1 to 2 months. But it should be adjusted, as well as prescribed by a specialist. As for the parallel intake of other drugs, there is no ban.

Sepia (Sepia) is a remedy that alleviates a woman's condition during menopause, when sleep is disturbed, there is heavy sweating, and irritability. The composition of the drug includes black cohosh, Bushmaster snake venom, cuttlefish ink sac secretion, and ethyl alcohol. 8-10 drops of the composition should be dissolved in a quarter glass of water and drunk up to 2 times a day half an hour before meals or an hour after meals. The course of treatment, if the woman does not have an intolerance to the drug, lasts two months. During this time, sweat secretion will stabilize, hot flashes will decrease. Cases of Sepia overdose have not been reported.

The homeopathic medicine "Remens" is an effective remedy for menopause, which entails a failure in some body systems, especially in the female genital organs. "Remens" restores the disturbed ratio of endocrine glands, which ensure the normalization of hormonal levels. It is characteristic of this drug that it can be used in combination with other drugs at any stage of menopause. "Remens" is produced as drops. Bottles of 20, 50 or 100 ml with a dispenser. There are also tablets that should be taken under the tongue. In addition to providing hormonal balance, "Remex" stabilizes the autonomic nervous system: relieves excessive sweating, hot flashes, rapid heartbeat and heart pain.

These and other homeopathic preparations are not just popular, they are justifiably popular: the components they contain are exclusively of plant origin.

Prevention

Prevention is also not anything special. Routine, nutrition, emotional management, physical exercise and maximum movement.

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Forecast

Speaking about the latter, the prognosis is favorable in the vast majority of cases: after a while, menopause and the discomfort that accompanies it will stop causing trouble for a woman. But of course, this will not happen by itself: it is necessary to radically change habits and even lifestyle during menopause. It should be healthy: without alcohol and nicotine, with enough time for rest, necessarily active, with the right diet. The recommendations are the same as for other diseases.

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