Why Does Sleep Change During Perimenopause?

One of the most frustrating symptoms of perimenopause is poor sleep.

Many women who previously slept well suddenly experience:

  • waking at 3am

  • night sweats

  • difficulty falling asleep

  • light sleep

  • anxiety at night

  • racing thoughts

And often, this begins before periods stop completely.

Why Hormones Affect Sleep

Hormones such as:

  • progesterone

  • oestrogen

  • cortisol

all influence sleep quality.

During perimenopause, fluctuations in these hormones can affect:

  • body temperature

  • nervous system regulation

  • melatonin production

  • stress resilience

Stress & Burnout Often Compound the Problem

Perimenopause frequently overlaps with:

  • parenting stress

  • career pressure

  • ageing parents

  • chronic burnout

This can place the nervous system into a prolonged “fight or flight” state.

Supporting Sleep Naturally

Support may include:

  • nervous system regulation

  • blood sugar support

  • reducing evening stimulation

  • herbal medicine

  • sleep hygiene

  • stress management

  • supporting hot flushes

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Natural Support for Hot Flushes

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What Age Does Perimenopause Start?