Excessive sweating in elderly female: GP Guide

Summary: Excessive sweating in older women isn’t always a normal part of aging — it can signal underlying issues like hormonal shifts, medication side effects, or health conditions such as diabetes or thyroid problems. Sudden or disruptive sweating, especially at rest or during sleep, deserves attention. Treatment options range from prescription antiperspirants to medications and Botox. Telehealth makes it easier to seek discreet, professional advice without leaving home.

Sweat isn’t something we usually talk about—unless we’re mopping our brows after a brisk walk or stuck in a sweltering heatwave. But for some older women, it goes way beyond that. It’s not just a little glow or a bit of warmth. It can hit out of nowhere, feel intense, and seriously disrupt your day (or night). 

What's worse is that it often happens during the quiet moments—sitting still, chatting with a friend, even lying in bed trying to fall asleep. 

If you—or someone close to you—has started experiencing this kind of sweating in your 60s, 70s, or beyond, it might be time to dig a little deeper. Because no, it’s not always just a normal part of getting older. And no, you don’t have to just “live with it.” 

Why would a 70-year-old woman start sweating excessively? - Possible causes

First off, a little sweat is totally normal. It’s your body’s way of keeping your cool. But when it feels out of proportion—like you're drenched from simply sitting still—that's your body waving a flag. Something else might be going on.  Here are a few potential reasons: 

Primary hyperhidrosis 

Some people are just naturally sweatier than others. If you've always been the person who breaks a sweat faster than everyone else, this might sound familiar. It’s called primary hyperhidrosis—a condition where the sweat glands are overactive for no clear reason. It tends to run in families and usually targets areas like the hands, feet, underarms, or face. 

Secondary hyperhidrosis

Now, if the sweating is new or getting worse with age, that’s often a clue it could be part of a bigger picture. Here are some common triggers: 

• An overactive thyroid (hyperthyroidism) 
• Type 2 diabetes 
• Hormonal shifts—even long after menopause 
• Infections (yes, even a mild UTI) 
• Medications like antidepressants, blood pressure meds, or certain painkillers 
• More rarely, underlying conditions like lymphoma 

For many women, it can be a combination of things. Medications, health conditions, and lingering hormone changes can all contribute. 

When should I be worried about sweating too much?

Not every case of sweating means something serious—but there are red flags worth paying attention to: 

• The sweating came on suddenly or out of nowhere 
• You’re waking up drenched 
• It’s only happening on one side of your body 
• You’ve noticed other symptoms, like weight loss, fatigue, or your heart racing 
• It’s messing with your life—keeping you up at night, making you skip outings, or just making you feel uncomfortable in your own skin 

If any of that rings a bell, it’s a good idea to check in with your doctor. Even if it doesn’t feel like an emergency, it’s worth a real conversation—especially if this is new for you. 

Also read: 11 Healthy habits for women over 50 

Why do I get sweaty when sitting?

This one baffles a lot of women. You're not moving, you're not warm, and yet—there it is. A damp forehead. A clammy neck. Maybe even full-on sweat. 

What gives? 

Here are a few possibilities: 

• Hormonal changes don’t stop just because menopause is “over.” Shifts can continue for years and mess with your internal thermostat. 
• Anxiety or low-grade stress can sneak in under the radar and still activate your body’s fight-or-flight response. 
• Aging nerves can change how your body regulates temperature. 
• Medications might be nudging your sweat glands, even when you're resting. 

So yeah, it’s complicated. And your body might just be misreading the signals. 

Facial and hair sweating in the elderly 

Facial and scalp sweating can feel especially awkward—there’s no hiding it. A shiny forehead or damp roots are hard to ignore, and they can be uncomfortable too.  Sometimes, it’s just hyperhidrosis showing up in new places. Other times, it could be linked to: 

• Nerve sensitivity in the head and neck 
• Conditions like Parkinson’s or diabetes 
• Something called gustatory sweating—where the act of eating (or even thinking about food) brings on sweat, often around the face. This can happen after surgery or nerve damage, but also without any clear cause. 

How is the cause of excessive sweating diagnosed?

It usually starts with a chat. Your doctor will ask things like: 

• When did the sweating start? 
• Where does it happen on your body? 
• Is it worse at certain times or in specific situations? 
• Are you taking any new medications? 

From there, you might get: 

• Blood tests (to check your thyroid or blood sugar) 
• Urine tests (to rule out infections) 
• A medication review 
• A referral to a specialist, like an endocrinologist or neurologist, if needed 

Also read: Common vitamin deficiencies in women aged 40-50 and what to do about it?

Can excessive sweating be prevented?

You might not be able to stop it entirely, but you can make it more manageable.  Try this: 

• Stick to lightweight, breathable fabrics—natural fibres like cotton can help. 
• Dress in layers, so you can adjust when your body can't. 
• Avoid common triggers like caffeine, spicy food, and alcohol. 
• Keep cool—fans, cooling sprays, or a chilled glass of water can go a long way. 
• Find ways to calm your nervous system—even a five-minute walk or a few deep breaths can help. 

Sometimes, it’s the little things that make the biggest difference. 

What are the treatment options?

If there's no major medical cause—or the sweating sticks around anyway—there are still solid options to explore: 

• Prescription-strength antiperspirants – These can be used on underarms, hands, feet, or even the face (in small amounts). 
• Oral meds – Drugs like oxybutynin or glycopyrrolate can reduce overall sweating. They do have side effects, though, so your doctor will weigh the pros and cons—especially if you’re older. 
• Botox – Yes, for sweat. It temporarily shuts down sweat glands in specific areas. Works wonders on underarms and the face. Results can last months. 
• Iontophoresis – A bit niche, but great for sweaty hands or feet. It uses a mild electrical current in water (it’s not painful and is generally safe when used properly, but contraindicated in individuals with pacemakers, epilepsy, pregnancy, heart conditions, or metal implants in the treatment area). 
• Surgery – This one’s rare and usually a last resort. It involves cutting nerves responsible for excessive sweating. It’s not often recommended for older adults due to the risks. 

Online doctor medical advice for excessive sweating in elderly woman 

Telehealth is a great option—especially if the issue feels too minor to bring up at a clinic or too personal to mention face-to-face. 

You can describe your symptoms, get a prescription if the doctor deems it appropriate, or even get referred to a specialist. Just make sure you're using a trusted service with registered and approved doctors. 

Excessive sweating isn’t something you just have to accept as part of aging. If it’s interfering with your comfort, your sleep, or your confidence, you should look into it further. 

Whether it’s medical, hormonal, or simply your body’s unique wiring, you’re not stuck with it. There are ways to feel better—and you don’t have to go through it alone. Start by talking to your doctor, or even just a friend. Sometimes the hardest part is bringing it up. 

How can Hola Health help with excessive sweating in the elderly woman?

here’s how Hola Health can help with excessive sweating, especially for older women:

• Online GP consultations in minutes: You can speak to a qualified online doctor discreetly from home, no need for long waits at a clinic.
• Get tailored advice or a prescription: If appropriate, the doctor can suggest treatment options through 24/7 online scripts or order blood tests to check for underlying issues like thyroid problems or infections.
• Referrals when needed: If your case needs a specialist, Hola Health doctors can organise a referral, saving you time and hassle.
• Night-doctor support: Excessive sweating can be distressing at night — Hola Health’s after-hours service means you’re not stuck waiting till morning for advice.