Did HRT stop or reduce your night sweats?

[Anonymous]

I’ve been on HRT about 18 months (oral progesterone and 1 mg dose of estradiol patch). Overall, I feel like my symptoms are under control except for my night sweats. I have them 2-3 times a night, wake up drenched and then start to shiver. I don’t know what else to do because I think I’m at the upper level of the hormone doses. I recently moved and I’m on a waiting list to see a new ob/gyn. I don’t want to get a bed jet or sleep in the nude because I’m typically cold. Any suggestions? And for others with night sweats, how do you protect your mattress from the disgusting sweat?

[Anonymous]

The pill did. Maybe you need estrogen cream?

[Anonymous]

HRT stopped about 99% of my night sweats. It still happens once every couple months.

I have an estradiol patch, IUD (Mirena) and prasterone suppositories

I wonder if somehow that combination is more helpful or if it’s just like determining how much HRT helps?

[Anonymous]

Sounds like you need more estrogen. I’ve heard of people combining patches, like using the 0.1 patch plus another lower dose to go over 0.1.

You also might consider trying a different delivery method of progesterone, or else doing cyclically so half the time you don’t have it. Progesterone can down regulates estrogen.

[Anonymous]

Yes, but I also ended up in the ER due to not being able to breathe properly. As soon as I stopped using the patch, I was able to breathe again.

[Anonymous]

It did for me. I rarely get any night sweats now. Started HRT (estrogen patch and progesterone) about 18 months ago.

[Anonymous]

OP here. Thanks for the feedback. I’ll be sure to mention it to my new doctor, whenever I get off the damn waiting list!

[Anonymous]

Prempro did. Why would you wait for a an appointment? Just find another doctor.

[Anonymous]

Yes, mine stopped within days of starting my estradiol gel. I wonder if you're one of the few people who don't absorb it well through the skin and might need oral estrogen. They should be able to test your levels to see.

[Anonymous]

Anonymous wrote:The pill did. Maybe you need estrogen cream?

I thought the cream was local only, not absorbed into the system?

OP, yes, but I had to go up to a higher-dose patch.

[Anonymous]

Anonymous wrote:Prempro did. Why would you wait for a an appointment? Just find another doctor.

Because 2 health care organizations in the city where I live (just left DC) has caused a shortage of providers in the area. Anyone good has a months long waiting list. I’d rather see one of the docs my DC provider recommend (and are menopause specialists).

[Anonymous]

Yes, once I was prescribed the right dose.

[Anonymous]

Anonymous wrote:

Anonymous wrote:The pill did. Maybe you need estrogen cream?

I thought the cream was local only, not absorbed into the system?

OP, yes, but I had to go up to a higher-dose patch. [/quote
Yeah the cream won't help with night sweats.

[Anonymous]

Yes. But you need the right strength patch

[Anonymous]

Maybe ask your provided about this drug, too?

"F.D.A. Approves New Menopause Drug
The drug, one of the few nonhormonal options for menopausal women, reduced hot flashes and night sweats, and appears to help with sleep issues."

gift link:
https://www.nytimes.com/2025/10/24/well/fda-menopause-drug-lynkuet.html?unlocked_article_code=1.-E8.WFHt.kpoPj4YcZIa8&smid=url-share