Why Do I Sweat in My Sleep? Understanding Night Sweats and What They Mean

Sweating is your body’s natural way of regulating temperature, but when it happens at night, it can be alarming. Night sweats—also known as nocturnal hyperhidrosis—can disrupt sleep, affect your health, and leave you wondering why your body is reacting this way while you’re resting.

Person sleeping at night with visible sweat, illustrating night sweats.


What Causes Night Sweats?

Night sweats can occur for various reasons, from harmless environmental factors to underlying medical conditions. Some common causes include:

1. Sleep Environment
Overly warm rooms, heavy bedding, or synthetic pajamas can trap heat, causing your body to sweat to cool down. Adjusting the thermostat or using breathable fabrics often helps.

2. Hormonal Changes
Fluctuations in hormones, especially during menopause, perimenopause, or even testosterone therapy, can trigger night sweats. Hot flashes and hormonal shifts affect the hypothalamus, which regulates body temperature.

3. Infections
Fever-inducing infections, such as the flu or tuberculosis, can cause sweating at night as your body fights illness.

4. Medications
Certain medications, including antidepressants, steroids, and diabetes medications, list night sweats as a potential side effect. Always consult your doctor before stopping any prescribed medicine.

5. Stress and Anxiety
Your nervous system can overreact during stressful periods, leading to night sweats. Even if you’re unaware of stress while sleeping, your body may still respond.

6. Chronic Medical Conditions
Conditions like hyperthyroidism, diabetes, and sleep apnea are linked to night sweats. In some cases, they may be early warning signs of more serious health issues.


When to Worry About Night Sweats

Most night sweats are harmless, but you should see a healthcare professional if they are:

  • Frequent and severe

  • Accompanied by fever, unexplained weight loss, or pain

  • Interrupting your sleep consistently

  • Linked with other unusual symptoms

Early evaluation can rule out serious conditions such as infections, autoimmune disorders, or hormonal imbalances.


How to Reduce Night Sweats

Even if your night sweats are not linked to a serious condition, there are practical steps to reduce them:

  1. Cool Your Bedroom: Keep temperatures between 60–67°F (16–19°C). Use fans or air conditioning if needed.

  2. Choose Breathable Bedding: Cotton sheets and moisture-wicking pajamas help your skin stay cool.

  3. Maintain a Sleep Routine: Reducing stress and following a consistent sleep schedule improves overall sleep quality.

  4. Limit Alcohol and Caffeine: Both can trigger night sweats.

  5. Hydrate Well: Sweating at night can lead to dehydration; drinking water during the day helps maintain balance.


Night sweats are more than just a minor annoyance—they can indicate environmental issues, hormonal changes, stress, or underlying health problems. Observing patterns, adjusting your sleep environment, and seeking medical advice when necessary can help you regain restful sleep.

Understanding why you sweat in your sleep is the first step toward a cooler, healthier night.

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