I learned that dermatologists are the specialists who treat hyperhidrosis, if you can’t “cure” the root cause, so it might be worth consulting a dermatologist if it really bothers you. My gynecologist is on the Long COVID team at the medical center where I’m seen and she said there’s also evidence that COVID is triggering earlier menopause in some women, so that can sometimes be a factor? That didn’t seem to be the case for me though.

It depends on where you have the most sweating. There are some oral medications, but they’re all anticholinergics so they have nasty side effects. There are more options for underarm sweating like prescription-strength antiperspirants and wipes; some can be used on other parts of your body. There’s a new procedure called Brella for underarms, but not covered by insurance. The antiperspirants irritated my skin, and wouldn’t work well for my face of course.

There are also different energy-based treatments for excessive sweating of the hands and feet but those seem kind of intimidating because they involve zapping sweat glands.

My worst problem areas are my underarms and face, and I get Botox to my underarms and scalp (she can’t go too close to my face because of concerns insurance would consider it cosmetic and not cover it). It temporarily inhibits some of the nerves in the surface of the skin that cause the sweating. It works really well and last from 3-6 months, and my insurance covers it. I like that it’s localized, so it gets right to where it needs to be and I’ve had no side effects, other than the initial irritation from the injections.