Perimenopause and menopause are natural stages of life, but they can come with some frustrating side effects—one of the most common being disrupted sleep. Many women find themselves tossing and turning, waking up drenched in sweat, or struggling with insomnia as they navigate this transition. But why does menopause wreak havoc on sleep, and what can be done about it?
In this blog, we’ll dive into the connection between menopause and sleep quality, explore the reasons behind those restless nights, and offer practical solutions to help you get the restful sleep you deserve.
Why Does Peri/Menopause Impact Sleep?
Hormonal changes are the primary culprit behind menopause-related sleep disturbances. As estrogen and progesterone levels decline, a cascade of effects can make it harder to get a good night’s sleep. Here’s how:
1. Night Sweats and Hot Flashes
Hot flashes don’t just strike during the day. Many women experience intense night sweats that jolt them awake multiple times throughout the night. These sudden temperature shifts make it difficult to fall back asleep, leading to fragmented and poor-quality rest.
2. Insomnia and Difficulty Falling Asleep
Hormonal fluctuations can also contribute to insomnia. Progesterone, which helps promote sleep, drops during menopause, making it harder to fall and stay asleep. Many women report increased anxiety and racing thoughts at bedtime, further exacerbating sleep disturbances.
3. Increased Risk of Sleep Apnea
Menopause is linked to an increased risk of sleep apnea—a condition where breathing repeatedly stops and starts during sleep. The drop in estrogen and progesterone can lead to airway instability, causing snoring and frequent awakenings. If you wake up gasping for air or feel exhausted despite a full night in bed, consider discussing sleep apnea with your healthcare provider.
4. Changes in Melatonin Production
Melatonin, the hormone responsible for regulating sleep cycles, naturally declines with age. This decline, combined with fluctuating estrogen and progesterone levels, can throw off your internal body clock, making it difficult to fall asleep at the right time and stay asleep through the night.
5. Mood Changes and Stress
Peri/Menopause often brings mood swings, anxiety, and even depression. These emotional shifts can significantly impact sleep quality. Worrying about work, family, or the changes happening in your body can make it difficult to quiet the mind and relax into sleep.
How to Improve Sleep During Peri/Menopause
If you’re struggling with sleep disturbances during peri/menopause, the good news is that there are strategies to help. From lifestyle changes to targeted treatments, here’s what you can do to reclaim restful sleep.
1. Optimize Your Sleep Environment
- Keep your bedroom cool: A lower room temperature (around 65°F or 18°C) can help combat night sweats.
- Use moisture-wicking sheets and pajamas: Breathable fabrics can help regulate body temperature and keep you comfortable.
- Block out light and noise: Blackout curtains and white noise machines create a calm and restful sleep environment.

2. Establish a Relaxing Nighttime Routine
- Wind down before bed: Avoid screens at least an hour before bedtime, as blue light can interfere with melatonin production.
- Try relaxation techniques: Deep breathing, meditation, or a warm bath can help prepare your body for rest.
- Maintain a consistent sleep schedule: Going to bed and waking up at the same time each day can help regulate your circadian rhythm.
3. Manage Night Sweats and Hot Flashes
- Avoid triggers: Spicy foods, caffeine, and alcohol in the evening can trigger hot flashes.
- Stay hydrated: Drinking enough water throughout the day helps regulate body temperature.
- Consider natural remedies: Black cohosh or soy isoflavones may help with hormonal balance.
4. Exercise Regularly—But at the Right Time
- Engage in regular movement: Exercise can improve overall sleep quality, but avoid vigorous workouts close to bedtime.
- Try yoga and stretching: These activities help relax your muscles and reduce stress, promoting better sleep.
5. Consider Supplements and Hormonal Support
- Magnesium: Helps relax muscles and promote deeper sleep.
- Melatonin: Supports better sleep regulation, particularly if your levels have declined.
- Bioidentical Hormone Therapy (BHRT): Some women find relief from menopause symptoms, including sleep disturbances, through BHRT. Speak to a naturopath or healthcare provider to see if this option is right for you.
6. Seek Professional Help If Needed
If sleep problems persist, consulting a professional may be helpful. A naturopath or menopause specialist can assess your symptoms and offer personalized recommendations, including dietary changes, lifestyle adjustments, and hormone assessments.
You Deserve Restful Sleep
Peri/menopause may bring changes, but sleepless nights don’t have to be one of them. By understanding the reasons behind menopause-related sleep disturbances and taking proactive steps to improve sleep hygiene, you can find relief and wake up feeling refreshed.

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At Oona, we offer expert support for women navigating perimenopause and menopause, from naturopathic consultations to acupuncture and other holistic therapies. If sleep issues are affecting your quality of life, book a consultation with one of our specialists today. Let’s get you back to restful, rejuvenating sleep!
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Sleep is essential for overall health, and menopause shouldn’t stand in the way of getting the rest you deserve. With the right approach, better sleep is possible—even during this transitional phase of life.