Throwing covers off at 2 AM, changing pyjamas, waking your partner. Night sweats are almost always a hormonal or metabolic signal — and they respond well when you treat the right driver.
Falling estrogen (peri/menopause), low progesterone, thyroid swings, late-evening alcohol, blood sugar crashes, andropause in men, and sometimes SSRIs or infections. The pattern of the sweats — early night, middle night, drenching vs damp — points us at the cause.
What we test
Estradiol, progesterone, FSH, testosterone, full thyroid, fasting glucose and insulin, and a wearable look at sleep stages when relevant.
What works
Bioidentical estrogen and oral progesterone at night are first-line for menopausal sweats. We also fix thyroid, stabilise glucose, and clean up evening triggers. Most women see major improvement in the first cycle.
FAQ
Frequently asked questions.
+Are night sweats only menopause?
No. Thyroid, low blood sugar, alcohol, andropause and infections also cause them. Testing tells us which.
+Will progesterone alone help?
Often, yes — especially in perimenopause. Oral micronised progesterone at bedtime is a sleep and sweat workhorse.