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Ask the Expert: Night Sweats


Q:I'm in my 30s, and I sometimes wake up at night drenched in sweat. What's going on?


A:The first thing to consider is whether your sleep routine has been altered in any way. Has it become unusually warm in the evenings? Are you still using your winter comforter? If the answer to both is no, you may be having hot flashes. Before you assume it's early menopause, know that the most common cause of hot flashes in women under the age of 45 is stress. Some experts suspect elevated levels of the stress hormone adrenaline may trigger those night sweats. Relaxation techniques, such as exercise or meditation, may help. If they don't, make an appointment with your doctor to rule out other causes, such as a thyroid imbalance, prescription medications, or postpregnancy hormone fluctuations. However, if you've experienced hot flashes for two or more weeks or also have mood swings, painful sex (caused by vaginal dryness), and/or insomnia, perimenopause may be to blame. Although most women go through this two- to 10-year transitional phase in their 40s or 50s, it can start earlier in some women. See your gynecologist; she may prescribe hormones, such as those in oral contraceptives, to lessen symptoms.

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