Menopausal Night Sweats and Their Management

Night sweats are a common symptom experienced by women during menopause. They often occur in conjunction with various comorbid symptoms, thus necessitating a tailored approach in treatment based on the specific symptoms and their severity. Proper management is also crucial during menopause, including dietary adjustments that can effectively alleviate night sweats. So, what should menopausal women do when experiencing night sweats? Here are some suggestions:

1. Dietary Adjustments

According to traditional Chinese medicine, excessive sweating in menopausal women is primarily attributed to yin deficiency and internal heat, as well as the rise of deficient yang and instability of body fluids. During summer, various juicy and moisturizing fruits and vegetables, such as watermelon, pears, lettuce, loofah, lily bulbs, and fresh lotus roots, are abundant. Consuming these foods in moderation can nourish yin, reduce fire, promote saliva secretion to quench thirst, and tonify the body. Additionally, preparing porridge with lotus seeds and lily bulbs or with red beans, coix seed, and red dates can also be beneficial. Regarding meat, duck meat is considered cooling and can be combined with ingredients like lily bulbs and radix glehniae to make nourishing soups. It is recommended to reduce the intake of high-fat, high-salt, and high-sugar foods, as well as avoid spicy and pungent foods like mutton, Sichuan pepper, and fennel, which can exacerbate sweating symptoms.

2. Exercise and Lifestyle Adjustments

Women who lack physical exercise, smoke, or are obese tend to have a higher incidence of hot flashes and night sweats. Engaging in regular physical activities, cultivating healthy living habits, and balancing work and rest can help prevent these symptoms. Choose appropriate exercises and avoid intense activities that may lead to excessive sweating and dehydration, especially during the hottest parts of the day.

3. Adjusting Living Environment

It is important to adjust the temperature and humidity of the living environment accordingly. For instance, individuals with yin deficiency and blood heat should maintain a slightly cooler living environment, possibly using cooling mats or water pillows. Additionally, keeping bedding, pajamas, and other items clean and regularly airing or washing them, as well as bathing frequently, can help reduce the irritation caused by sweat on the skin. Avoid staying up late.

4. Hormone Replacement

In cases where hot flashes and night sweats are severe and unresponsive to the above methods, hormone replacement therapy may be considered. However, the use of hormones has strict indications and contraindications, and it is necessary to consult with a specialist doctor before deciding on treatment.

In conclusion, menopausal night sweats are a complex issue that requires a multifaceted approach. By combining dietary adjustments, exercise, lifestyle modifications, and, in severe cases, hormone replacement therapy, women can effectively manage these symptoms and improve their overall quality of life.