How to prevent
Night Sweating

Sweating is the way your body regulates its core temperature. That's why you sweat when the outside air is warm or when you're exercising. You can also sweat for other reasons, such as when you're nervous, stressed or unwell.

There are various causes of excessive sweating during sleep and most of us will have the occasional hot, sweaty night – it could be a warm night, or maybe you're dressed too warmly or lying under a thick doona. Frequent periods of excessive sweating during sleep, where you wake up and the sheets and bedding are soaking wet, are different, and there can be several underlying causes of these regular periods of night sweating.

The causes of excessive sweating at night can be short term (such as a fever), but others, such as menopause, can cause night sweating over a longer period of time.

Both alcohol and coffee are stimulants and can increase your heart rate, which raises your body temperature.

Women who are going through menopause, or are about to, may experience night sweating. Changes in the production of the hormones oestrogen and progesterone in the body are thought to cause excessive sweating and hot flushes.

Most women in menopause or perimenopause – the transitional period before menopause – experience hot flushes. Hot flushes during menopause can happen throughout the day and usually last a few minutes. They also occur at night and can disrupt your sleep.

Hyperhidrosis is a sweating condition where your body sweats even though it doesn't need to cool down. Excessive sweating can be aggravated by certain factors, such as being overweight, alcohol consumption, conditions such as diabetes or an overactive thyroid, menopause and certain medications.

For most of us, excessive sweating is nothing more than a harmless inconvenience, but in some cases night sweating can be a sign of an underlying condition. If you regularly wake up drenched in sweat, have other symptoms such as weight loss, fever or pain over a prolonged period, or if night sweating is disrupting your sleep, it's a good idea to see your doctor.

You may have an elevated body temperature when your body is fighting an infection. A fever usually shouldn't last longer than a night or two.

Certain medications can cause excessive sweating while you sleep. The most common are:

• Antidepressants
• High blood pressure medications
• Hormone therapy medications

If you think your medications may be causing night sweating, have a chat with your doctor.

The hypothalamus, the part of your brain that regulates body temperature, is also involved in the endocrine system that regulates hormone levels. A disruption of the endocrine system therefore affects the body's temperature regulation mechanism. Hormonal problems that can cause night sweating include hyperthyroidism – overactivity of the thyroid gland – or diabetes.

Stress can cause excessive sweating during the day (sweaty palms and damp armpits are common) and this also applies at night. When you're stressed, your body releases the stress hormones adrenaline and cortisol, which trigger a 'fight-or-flight' response and activate your apocrine glands – sweat glands in the armpits and groin – to start sweating.

Some women experience night sweating before or during their menstrual cycle. This is due to hormonal fluctuations that are a normal part of a menstrual cycle. During menstruation, progesterone levels increase, causing oestrogen levels to drop. This imbalance affects the hypothalamus, the part of your brain that regulates the body's internal temperature. This leads to a response in the brain telling your body that it needs to cool down.

Because sweating is your body's way of regulating temperature, this response can cause hot flushes or night sweating. Sometimes this continues during your period, but it should be over after a few days.

Just as there’s no single reason for night sweating, there’s also no single remedy for excessive sweating. It’s important to rule out that night sweating is a symptom of a serious condition, so if you’re worried, or if night sweating is interfering with your sleep and daily life, have a chat with your doctor.

There are a few ways you can reduce the effects of night sweating:

• Sleep in a cooler room with the window open if you can
• Consider a breathable mattress that doesn’t trap heat
• Choose breathable cotton sheets instead of synthetic fibres
• Change your bedding regularly – at least once a week. Dead skin cells and dirt can reduce the breathability of your sheets and doona
• Wear loose-fitting sleepwear made from natural fibres such as cotton or linen
• Shower before going to bed and use an antiperspirant