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Perimenopause and sleep: how to manage restless nights

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Perimenopause
 minutes
February 28, 2025
Medically reviewed by: 

One of the most frustrating challenges during perimenopause is the sudden onset of sleep issues. From tossing and turning to waking up drenched in sweat, sleep problems during menopause are a common yet disruptive reality for many women. But why does this happen, and what can you do about it?

This blog explores the connection between perimenopause and sleep, including how perimenopause night sweats and perimenopause insomnia contribute to restless nights. We’ll also share expert-backed tips for better sleep during perimenopause to help you get the rest you deserve.

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Why perimenopause affects sleep

Perimenopause is a transitional phase marked by fluctuating hormone levels, particularly estrogen and progesterone. These changes can disrupt the body’s internal systems, including temperature regulation, mood stability, and sleep cycles.

Here are the most common sleep-related challenges women face during perimenopause:

  • Perimenopause night sweats: Declining estrogen levels can lead to sudden hot flashes at night, causing excessive sweating and waking you from a deep sleep.
  • Perimenopause insomnia: Many women report difficulty falling asleep or staying asleep due to hormonal shifts, anxiety, or physical discomfort.
  • Mood swings and stress: Emotional changes during perimenopause can lead to increased worry, which may contribute to sleeplessness.

The result? Poor-quality sleep that leaves you feeling exhausted, irritable, and less able to cope with daily life.

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Tips for better sleep during perimenopause

Improving your sleep during perimenopause may require a combination of lifestyle changes and targeted strategies. Below are some proven methods to help you tackle sleep problems during menopause head-on.

  1. Create a cool and comfortable sleep environment
    • Reduce the risk of perimenopause night sweats by keeping your bedroom cool. Use breathable bedding, invest in a fan or cooling device, and wear moisture-wicking pajamas.
    • Consider blackout curtains and a white noise machine to eliminate distractions that might wake you up.
  2. Establish a consistent bedtime routine
    • Going to bed and waking up at the same time every day helps regulate your body’s internal clock.
    • Avoid screen time for at least an hour before bed. Instead, engage in calming activities like reading or meditating to signal to your body that it’s time to unwind.
  3. Limit triggers before bedtime
    • Avoid caffeine, alcohol, and spicy foods in the evening as they can increase the likelihood of hot flashes and disrupt your sleep.
    • If you’re prone to perimenopause insomnia, try a light snack with sleep-supporting nutrients, like a banana or a handful of almonds, to stabilize your blood sugar.
  4. Exercise regularly
    • Physical activity can reduce stress, improve mood, and promote better sleep. Incorporating movement into your day, like walking, yoga, or strength training, can help regulate your sleep patterns.
    • Just avoid vigorous exercise in the evening, as it may energize you and make it harder to fall asleep.
  5. Explore relaxation techniques
    • Deep breathing, mindfulness meditation, and progressive muscle relaxation can help calm your mind and prepare your body for rest.
    • These techniques are especially useful if stress or anxiety contributes to perimenopause insomnia.

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When to seek professional support

If your sleep issues persist despite trying these strategies, it might be time to consult a healthcare provider. A doctor can help identify underlying causes, such as sleep apnea or hormonal imbalances, and recommend solutions like hormone therapy or other medical interventions.

Some women benefit from supplements or medications designed to address sleep problems during menopause, while others may find relief through cognitive behavioral therapy for insomnia (CBT-I).

Perimenopause night sweats, perimenopause insomnia, and other sleep issues can be incredibly frustrating, but you’re not alone—and solutions are available. By creating a sleep-friendly environment, prioritizing self-care, and seeking professional guidance when needed, you can manage these challenges and restore restful nights.

Your sleep is crucial to your health and quality of life, so don’t hesitate to take proactive steps. With the right approach, you can navigate perimenopause with better energy, improved mood, and the restorative sleep you need.

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