Skin Concerns

Excessive Sweating

Excessive sweating, known clinically as hyperhidrosis, is sweating beyond what the body needs to stay cool. It is more common than most people realise.

In summary

Hyperhidrosis is excessive sweating that is not explained by heat or exercise. It most often affects the underarms, palms, soles or face, and commonly begins in childhood or the teenage years. A nurse-led treatment consultation with Petta Day RN or Candice McCue RN looks at the pattern of your sweating and which options may be suitable. Sweating that starts suddenly or affects the whole body should be checked by your GP first.

Reviewed by Candice McCue, Registered Nurse. Last reviewed October 2026.

What it is

Understanding hyperhidrosis

Sweating is the body's main way of cooling down. In hyperhidrosis the sweat glands are more active than they need to be, often while you are sitting still in a cool room.

Studies suggest around 3 in every 100 people are affected. Many never raise it with a health professional, often because they assume nothing can be done.

What you might notice

Signs to be aware of

Sweat patches on clothing without heat or exertion
Damp palms that make writing or shaking hands awkward
Sweaty feet that make some shoes uncomfortable
Sweating on the face or scalp in cool conditions
Changing clothes during the day to manage sweat marks
Two types

Primary and secondary hyperhidrosis

Determining which type you are experiencing is the first step, as both are managed very differently.

Primary focal hyperhidrosis

The most common type. It affects specific areas on both sides of the body, usually starts before the age of 25, often runs in families and tends to settle during sleep. No underlying illness causes it.

Secondary hyperhidrosis

Sweating caused by something else, such as a medical condition or a medication. It is more likely to affect the whole body or to start later in life. This type needs a GP review to find the cause.

See your GP before booking if your sweating started suddenly as an adult or affects your whole body. The same applies to sweating that happens mostly at night or comes with other symptoms such as unexplained weight loss or fever.

Hot flushes and night sweats during perimenopause follow a different pattern. These are assessed through our Women's Hormonal Health Clinic at Largs Bay.

Our approach

How we can support you

Most people start with everyday measures. When those are not enough, a nurse-led treatment consultation is the next step.

At your consultation, Petta or Candice asks about the pattern of your sweating and what you have already tried. If anything suggests secondary hyperhidrosis, they will recommend a GP review before any treatment is considered.

First step

Everyday Measures

Stronger antiperspirants from a pharmacy, applied to dry skin at night, can be a useful first step for milder sweating. Breathable fabrics and moisture-wicking socks may also help.

Nurse-led

Nurse-Led Treatment Consultation

For sweating that everyday measures do not manage, Petta or Candice can discuss in-clinic treatment options in a private consultation. Suitability is assessed individually.

Medical review

Your GP

For secondary hyperhidrosis, or sweating with other symptoms, your GP can look for the underlying cause and refer you on if needed.

Individual results vary. A consultation is required to determine suitability.

As prescription medicines are involved in these treatments, specific products, areas, and outcomes cannot be discussed on this page. All information will be provided privately during your consultation with our nurse.

Common questions

Frequently asked questions

What causes excessive sweating?

Primary hyperhidrosis comes from overactive sweat glands and often runs in families, with no underlying illness causing it. Secondary hyperhidrosis is caused by something else, such as a medical condition or a medication. That is why sudden or whole-body sweating should be checked by a GP.

Is hyperhidrosis a medical condition?

Yes. Primary focal hyperhidrosis is a recognised medical condition. It is not caused by anxiety or poor hygiene, although stress and heat can make sweating worse in the moment.

Do I need a referral?

You do not need a referral to book a nurse-led treatment consultation. If your sweating started suddenly or affects your whole body, see your GP first.

Is excessive sweating linked to menopause?

Hot flushes and night sweats are common during perimenopause and menopause. This is a different pattern from primary hyperhidrosis, and it is assessed through our Women's Hormonal Health Clinic at Largs Bay.

Take the first step

Talk to us about excessive sweating

Book online, or call us on 0403 292 292 if you would like to talk it through first.

Book a Consultation

With Petta Day RN, SA's Best Cosmetic Nurse 2023 & 2024 (The Advertiser), or Candice McCue RN. Available at both our Largs Bay and Norwood clinics, in a private consultation room.