The benefits of hrt: flushes and sweats

THE BENEFITS OF HRT: FLUSHES AND SWEATS
Approximately 40 per cent of women in the Melbourne Women's Midlife Health Study who had a natural menopause between the ages of forty-five and fifty-five experienced hot flushes and night sweats around this time. This figure, lower than reported in many other studies, reinforces the need to study non-clinic populations of women as well as those with a greater burden of symptoms, many of whom have had a premature menopause with or without medical intervention.
In the early menopause group, the incidence of hot flushes may reach 70 per cent or more. Insomnia, which affected about 40 per cent of menopausal women in the Melbourne study, is sometimes due to a woman waking repeatedly in the night, drenched from heavy sweating. The distressing combination of night sweats and insomnia may interfere with sexual interest and activity as well as making it more difficult to cope with the following day and its pressures.
Pauline was prescribed tranquillisers by the first doctor she consulted about her problems of night sweats and insomnia. 'I told the doctor how I'd wake in the early hours of the morning in a lather, I'd toss and turn and still not get back to sleep. In the process I'd disturb my husband, who'd get cranky because he had a lot on his plate at the time. He'd growl at me and snarl during breakfast.' Pauline finally consulted another doctor, who reassured her that the night sweats would probably become less intense and disappear over a few years. She explained the situation to her husband and discussed ways of minimising the night-time disturbance -including fewer bedclothes, more fresh air in the bedroom, and a spare nightgown in the bathroom, just in case.
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