Why do hot flushes get worse at night?
Hot flushes can feel worse at night due to changes in body temperature regulation during sleep and the influence of bedroom temperature, bedding, and hormonal fluctuations.
Detailed Medical Explanation
Nighttime hot flushes, or night sweats, are often more intense due to the body’s natural circadian rhythm and lower nighttime oestrogen levels. External factors such as warm bedding, a hot room, and certain foods or alcohol before bed can further exacerbate symptoms. Sleep disruption from night sweats is a common complaint during menopause. For further guidance, visit NHS menopause advice.
Clinical Context
Night sweats are a major cause of insomnia and fatigue in menopausal women. Identifying triggers and adopting cooling strategies is essential for symptom relief and sleep quality.
Evidence-Based Approaches
Research supports using moisture-wicking bedding, maintaining a cool sleep environment, and avoiding dietary triggers. CBT for insomnia (CBT-I) and relaxation techniques may help. More information is available at NICE menopause guidelines.