Night Sweats in Women 60+ 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 60+, most vasomotor symptoms ease although some women still experience them. Long-term risks are the priority: osteoporosis, breast cancer, heart, dementia. genitourinary syndrome of menopause needs active treatment as it tends to worsen. Starting systemic hormone therapy after 60 is usually more cautious; local vaginal estrogen may still be discussed with a clinician. Night sweats at 60+ are rarely from estrogen alone - consider other causes like diabetes, thyroid issues, infections, or medications. Discuss with doctor for comprehensive workup.