Hi MrsMitch, isn't it a great time of year to be drowning in your own sweat?
I had to stop my 3 pumps of oestrogel 15 days ago to switch directly to tibolone, no tapering or waiting which was ok, but tibolone doesn't deal with heat problems, so I've started putting two full length towels under me in bed and another on top of me. I lie on my back and don't really move a muscle all night, so it all stays in place and it's the only way to stay dry. I've also got a dog mat under my head and shoulders, the cooling type. A towel sitting beside the bed will be cold enough to lift onto my thighs when I wake up too hot and it drains all the heat from me that way, very cooling. Our bedroom is 15'C at night and the bathroom is freezing cold, so if I get up to pee I'll have to put on a dry nightie at the same time so my soaking wet one doesn't cause me to freeze as well. My dressing gown hangs on the back of the bedroom door and I put a clean nightie in one pocket of it so it's there when I need it.
Some nights are really bad, then I use the towels and have lots of good nights, they really work well.
Otherwise tibolone makes me feel like myself again, normal, happy. It's a great mental health med and boosts my energy too, but for menopause sweating it's not much use at all.
PS I find tibolone excellent for all VA related symptoms, since switching from 3pumps of oestrogel 15 days ago, I've noticed a definite improvement to how strong and wet I feel the tissues are down there. I'm healing.