Dr. Joshua John-Ram Schacter explains that night sweats during perimenopause stem from hormone fluctuations. He recommends testing progesterone, estrogen, testosterone, thyroid, insulin, and cortisol, then either HRT or non-HRT approaches like nutrition and metabolic health to reduce symptoms.
One of the most common questions I get as a HRT specialist or hormone replacement therapy is, how can you help me get rid of my night sweats? As we enter perimenopause, one of the most just horrible symptoms we can get, and one of the most debilitating is night sweats. And it has to do with our hormone fluctuations. So one of the first things that we have to do is check all of your hormone levels. So we check your progesterone, your estrogen, and your testosterone levels, but we also check your thyroid levels, your insulin levels, and your cortisol levels. All of these together help give us a full, better picture of what's causing your night sweats. And then we talk about replacing deficiencies and maximizing where you're doing well at. And so sometimes that requires hormone replacement, and we talk about the risks and benefits of those. But most of the time, we're able to really help a patient better manage their way through perimenopause with hormone replacement therapy, or if they don't want to do hormone replacement therapy, with optimizing nutrition, metabolic health and wellness and getting your insulin levels where they need to be. And that can help improve some of those symptoms. But unless you do hormone replacement therapy, you're not really going to be able to get rid of them completely.
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