How Stress Intensifies Night Sweats During Menopause

learn about how stress makes night sweats worse in menopause

The menopause transition brings about a number of significant changes in a woman’s body and brain wiring and one of the most common and bothersome symptoms is night sweats. These sudden bouts of excessive sweating can disrupt sleep patterns and significantly impact one's quality of life. Interestingly, stress has been identified as a key factor that exacerbates night sweats during menopause. In this blog post, we will delve into the relationship between stress and night sweats, particularly focusing on how stress intensifies this symptom during the menopausal phase.

 Understanding Menopause-related Night Sweats

Night sweats are episodes of excessive sweating that occur during sleep. They are similar to hot flashes, but specifically happen at night. The underlying cause of night sweats is attributed to hormonal fluctuations, particularly a decrease in estrogen levels, which is a hallmark characteristic of menopause. However, stress can significantly impact the severity and frequency of night sweats experienced by women during this stage of life.

 The Stress Response and Night Sweats

Stress triggers a complex physiological response within the body, often referred to as the "fight-or-flight" response. When faced with a stressful situation, the body releases stress hormones, such as cortisol and adrenaline, which prepare us to respond to perceived threats. These hormones can affect the hypothalamus, the part of the brain responsible for regulating body temperature.

 The hypothalamus plays a crucial role in maintaining body temperature by triggering sweat production to cool down the body when it becomes too warm. However, during menopause, the hypothalamus becomes more sensitive and susceptible to external factors, including stress. When stress levels are high, the hypothalamus can become overactive, leading to an imbalance in temperature regulation and an increase in night sweats.

Psychological Factors

In addition to the physiological aspects, stress can also have psychological effects that worsen night sweats. Menopause itself can be an emotionally challenging time due to the hormonal changes and associated symptoms. When stress levels are elevated, women may experience increased anxiety, irritability, and sleep disturbances. These psychological factors can create a vicious cycle, as stress-induced sleep disturbances can further disrupt hormone balance, intensifying night sweats. 

Managing Stress and Night Sweats

Reducing stress levels is key to managing and minimizing the impact of night sweats during menopause. Here are a few strategies that can be helpful:


  1. Relaxation Techniques: Engaging in relaxation techniques, such as deep breathing exercises, meditation, yoga, or tai chi, can help alleviate stress and promote a sense of calm.


  1. Regular Exercise: Physical activity releases endorphins, which act as natural stress relievers. Engaging in regular exercise, such as brisk walking, swimming, or cycling, can help reduce stress levels and improve overall well-being.


  1. Healthy Lifestyle Choices: Prioritize self-care by adopting a healthy lifestyle. This includes eating a balanced diet, getting enough sleep, avoiding excessive caffeine and alcohol, and practicing good sleep hygiene.
  1. Seek Support: Surround yourself with a supportive network of friends, family, or a menopause support group. Sharing experiences and receiving understanding can help alleviate stress and promote emotional well-being.
  2. The best fabrics for clothing and sleepwear: It may seem surprising to think about what you are wearing as having an effect on your stress levels. we're not talking about fashion, but rather, the types of fabric that will keep you cool and comfortable. Select breathable, moisture and heat managing fabrics, especially at night, to help keep you comfortable so you can sleep better. 
  3. Consult a Healthcare Professional: If night sweats and stress become overwhelming, it is important to consult a healthcare professional. They can provide guidance, recommend hormone therapy or other treatments if necessary, and address any concerns or questions you may have.


While night sweats during menopause can be challenging, understanding the role of stress in intensifying this symptom is crucial. By adopting stress-reduction strategies and seeking support, women can better manage night sweats and improve their overall well-being during this transformative phase of life. Remember, you are not alone, and there are resources available to help you navigate through this journey with greater ease and comfort.


If you're not sure what's making your night sweats worse, check out our night sweats e-journal. It can help you identify those triggers (including stress!) that make sleeping almost unbearable. Once you know what they are you can take steps to eliminate them and get your sleep back. (Hot tip!: our journal is included with every sleepwear purchase!)

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