Night Sweats
Do you recognize this?
You wake up at night with a soaked pajama top, throw off the covers, and half an hour later you're shivering. Night sweats are the nighttime version of a hot flash, and possibly the most disruptive, because they wreck your sleep. Anyone who wakes up broken night after night notices that everything feels harder during the day: your energy, your mood, your concentration.
Sound familiar?
- Waking up in wet sheets, sometimes several times a night
- Covers off, on, off again: all night long
- A partner complaining about the "sauna" in bed
- Getting up exhausted, no matter how early you went to bed
Why does this happen?
Just like hot flashes, night sweats occur because declining and fluctuating estrogen levels disrupt your brain's internal thermostat. At night, something else is added: your body temperature naturally drops during sleep, and a dysregulated thermostat overreacts to that, triggering a cooling response that wakes you up drenched in sweat.
Progesterone also plays a role: this hormone supports sleep quality, and progesterone is often the first hormone to decline during menopause. The combination of sweating and lighter sleep explains why many women find this phase so exhausting.
What can you do yourself?
These adjustments can make the difference between a broken night and a bearable one:
- Cool your bedroom to 16 to 18 degrees Celsius and choose breathable bedding (cotton, linen) instead of synthetic fabrics.
- Avoid alcohol and caffeine in the evening: both dilate blood vessels and trigger sweating.
- Don't eat too late or too heavily; active digestion raises your body temperature.
- Keep a change of clothes ready. Practical, but it saves a lot of frustration in the middle of the night.
If your sleep keeps suffering, the hormonal cause is the place to look.
How Menovia addresses this
At Menovia, we address night sweats at the source: the hormonal picture. A BIG-registered doctor goes through your symptoms and sleep pattern with you during the intake. Targeted blood testing shows where your hormone levels stand, and depending on your package, we also look at your thyroid and blood sugar, which can make nighttime sweating worse.
The doctor then draws up a personal treatment plan, usually with personally dosed bio-identical hormones. Many women find that night sweats can decrease as a result, and sleep can recover. Every 12 weeks we check your blood values and adjust where needed.
You can sign up today, there's no waiting list, and the 10-minute introductory call is free.
This is what the treatment process looks like
Online Screening
Leave your details and schedule an intake. Through a digital questionnaire, we'll check whether you're eligible for a free introductory call (10 min) or intake (45 min). When scheduling, you pay a deposit of €150, which is deducted from the intake costs of your package.
Intake
You will discuss our program with one of our specialized doctors and decide whether to participate.
Blood & DNA research
You will receive the tests at home for a smooth process. Blood tests are done at a location near you.
Personal Treatment Plan
Based on your research results, the doctor will create a personal treatment plan, usually consisting of bioidentical hormone supplementation and, if necessary, supplements.
Start Traject
Het traject duurt minimaal 6 maanden om er zeker van te zijn dat we je goed begeleiden.
Monitoring
During your treatment, you will be in regular contact with our expert team. Blood tests are done every 12 weeks for adjustments.
Evaluation
At the end of your treatment, we will determine your next steps together. This may include a referral back to the doctor or further guidance with Menovia.
Persoonlijke zorg, op maat samengesteld
Frequently asked questions
Essentially yes: it's the same disruption of your internal thermostat, just during sleep. Because your body can compensate less at night, the sweating is often more intense.
Yes, thyroid problems, infections, and certain medications, among other things, can also cause night sweats. That's exactly why Menovia works with extensive blood testing, so the doctor has a complete picture before you start treatment.
Hormone therapy is among the most effective treatments for hot flashes and night sweats. Whether it fits your situation is assessed by the doctor during the intake, based on your symptoms, history, and blood values.
Since May 2026, part of the consultations are reimbursed through supplementary insurance. This varies by insurer and policy.
Want to know more?
Go to our frequently asked questions
Experiences from other women
Start with personal hormonal guidance
Want to find out whether hormone therapy is right for you and what your body needs during menopause? Schedule an intake consultation with Menovia.
