All about each symptom of menopause
women going through menopause

Night Sweats and Chills in Menopausal Women

Night sweats and chills are menopause symptoms that - surprisingly – go hand in hand. During perimenopause - the years just prior to menopause - changes in hormone levels cause imbalances to occur in a woman's body. This can cause temperature increases at seemingly random moments, to which the body responds by producing sweat to cool down. Once the body has regained a more consistent and normal temperature, chills might occur as body temperature continues to decline. These temperature changes can make it difficult for perimenopausal women to experience restful sleep.

Night sweats and chills are usually associated with menopause.

Temperature Triggers

While the cause of extreme temperature changes during menopause is primarily hormonal, environmental, dietary, and lifestyle factors often contribute and trigger the symptom. For example, exercise raises body temperature and can trigger sweating episodes for up to two hours afterwards, which means that after a woman already prone to temperature change works out in the evening, she is more likely to experience chills later that night.

Combating Night Sweats and Chills

The most effective way to combat both night sweats and chills is by aiming to achieve a consistently cool internal body temperature. This advice may sound obvious, but avoiding heated environments - such as baths, saunas, and hot tubs - in the evening, and resisting drinking a hot beverage directly before going to bed will go a long way in promoting restful sleep. Dietary triggers, such as alcohol, spicy foods, and caffeine can also induce sweating, so consider limiting or completely cutting these from your evening diet, too.

Try not to allow your body to get too cold in the evening in your attempts to keep cool, as this may trigger chills. Sipping a glass of cold water and wearing breathable cotton nightwear should be enough to keep your body temperature down without becoming too cold.

Creating a Healthy Sleeping Environment

Creating a sleeping environment that's conducive to restful sleep is one of the most important factors when dealing with sweats and chills. It is important for the room to be cool and ventilated, but not too cold; avoid using central heating in your bedroom and keep a window open, but layer plenty of cotton sheets over your bed to sleep beneath to keep you warm, as these are breathable and easily kicked off if necessary.

When a woman is in her forties and early fifties, night sweats and chills are usually associated with menopause, and are most effectively dealt with through a series of dietary, lifestyle, and environmental adjustments. If you notice other worrying symptoms alongside sudden temperature change, however, it is advisable to consult with your doctor to rule out serious medical concerns.

Night Sweats and Dry Mouth

Many women will suffer from night sweats and a dry mouth during menopause, they do not necessarily indicate any serious medical condition. Learn more.

Q&A: What Are the Differences Between Night Sweats and Hot Flashes?

Read on to have your questions answered about the differences between hot flashes and night sweats.

Night Sweats and Headaches

Stress is one of the main causes of headaches and night sweats. Click on the link for further information about night sweat treatments.

  • Dall, L. & Stanford, J.F. (1990). Fever, Chills, and Night Sweats. In: Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd ed. Boston: Butterworths. Retrieved April 29, 2014, from
  • National Health Service UK. (2012). Night sweats. Retrieved April 29, 2014, from
  • National Institutes of Health. (2011). Sweating: MedlinePlus Medical Encyclopedia. Retrieved April 29, 2014, from
  • Stanford University. (1998). Sleep Hyperhidrosis (night sweats, excessive sweating). Retrieved April 29, 2014, from