Night Sweats in Women 45-49 years

Night sweats are hot flashes occurring during sleep, often soaking clothes and bedding. This is the primary cause of sleep disruption in perimenopause - middle-of-night waking leads to daily fatigue and brain fog. Malaysia's humid climate worsens this. At 45-49, many women are in active perimenopause with the most severe symptoms because estrogen fluctuation peaks here. This is also when most Malaysian women consider serious clinical treatment. The optimal hormone therapy starting window is here - potential benefits and risks should be reviewed individually for each suitable woman. Starting resistance training now is critical. Night sweats at 45-49 can occur 3-5 times nightly. Mid-night clothes change, extra pillows for swap, and partner sleeping in different room (temporarily) are practical strategies.