Poor sleep

Sleep is a hormonal process. If you find yourself struggling with poor sleep during menopause (or even just before), it’s not unexpected. Nearly half of women report sleep difficulties during perimenopause, and this figure increases to 60 per cent in postmenopause. So, what can you do to improve your sleep?

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In brief

  • Many women experience poor sleep during menopause, making it one of the most common symptoms associated with this stage of life.
  • Multiple hormones are involved in achieving restful sleep. Oestrogen and progesterone also play a role. When these hormones begin to fluctuate, it can disrupt your sleep.
  • Stress is another significant cause of sleep issues. The stress hormone cortisol suppresses the production of the sleep hormone melatonin.
  • Poor sleep and fatigue can exacerbate other menopausal symptoms. You may feel more emotionally sensitive, and other symptoms may become more severe.
I used to sleep through the night, but since menopause, I wake up as many as five times and struggle to get out of bed in the morning.
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Sylvia53 years old

What happens in your body?

Sleep issues are often high on the list of menopausal Symptoms experienced by many women, typically following common symptoms such as hot flushes and night sweats. This is because sleep is heavily influenced by various hormones. When hormone levels fluctuate and decline during menopause, it can disrupt your sleep in several ways.

Progesterone and the stress hormone cortisol play particularly important roles. Progesterone is a hormone with calming and sleep-inducing effects. When its levels decrease during menopause, it can become harder to fall asleep and/or stay asleep. It also affects the airways, potentially leading to breathing interruptions. This lack of oxygen can wake you up, a condition known as sleep apnoea.

Additionally, the production of serotonin, often referred to as the happiness hormone, decreases. This can also affect your mood. In the evening, serotonin is converted into the sleep hormone melatonin. Less serotonin means less melatonin, which in turn results in poorer sleep quality.

Consequences of poor sleep

Sleep plays a crucial role in many bodily processes. It ensures that hormones and neurotransmitters function properly, supports good focus, and promotes a positive mood. A good night’s sleep also helps you feel more resilient. Didn’t sleep well? You’ll notice the effects immediately. You may feel down or irritable, have less energy, and sometimes experience a reduced interest in sex. Your appetite may also increase.

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Other causes

Other factors can also interfere with your sleep, such as insufficient physical activity and a lack of exposure to daylight. Some causes are directly linked to menopause, like night sweats. Stress is another common factor for many women during menopause. The stress hormone cortisol inhibits the production of melatonin. Women often have low cortisol levels during the day, leaving them feeling tired. At night, cortisol levels rise, making it difficult to fall asleep.

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What treatments can help?

There are various ways to effectively manage menopausal symptoms. You don’t have to simply endure them. You can support your body naturally with healthy nutrition, regular exercise, and adequate rest. Additionally, supplements, medications, and hormone replacement therapy (HRT) can help. Below are some options for improving your sleep.

Nutrition and lifestyle: getting the basics right

When your hormonal balance changes during menopause, it can affect your energy levels, sleep, digestion, and metabolism. Healthy nutrition, regular exercise, and sufficient rest can help prevent or alleviate symptoms. Even small adjustments can make a significant difference in how you feel.

If you’re taking medications or supplements, a healthy lifestyle supports your body in absorbing nutrients and processing medications. This enhances the effectiveness of supplements and medications.

  • Go outside within an hour of waking up (exposure to daylight is essential).
  • Reduce your intake of alcohol and coffee. Avoid drinking coffee after midday.
  • Avoid screens with blue light in the evening, such as your phone or laptop.
  • Dim the lights in the evening. This encourages your brain to produce the sleep hormone melatonin.
  • Exercise regularly. Physical activity promotes better sleep. Aim to exercise in the morning or during the day to avoid raising your body temperature before bedtime.
  • Consider supplements that may aid sleep, such as magnesium and saffron.

Hormone therapy

During menopause, the hormones oestrogen and progesterone fluctuate and eventually decline once your periods have stopped entirely. This can lead to symptoms such as hot flushes, vaginal dryness, or poor sleep. For severe symptoms, hormone replacement therapy (HRT) is the most effective treatment. By replenishing the missing hormones, symptoms are reduced. This helps restore balance in your body, giving you back energy and calm in your daily life.

HRT is always prescribed by a doctor and tailored to your personal situation to ensure it is safe and effective.

I no longer need three cups of coffee in the morning to wake up. I now take magnesium and sleep more deeply. I also wake up less often during the night.
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Tina48 years old

Hormone-free medication

Many people are unaware that, in addition to hormone therapy, there are proven effective hormone-free medications to alleviate menopausal symptoms. While hormone therapy can address multiple symptoms simultaneously, hormone-free medications often target a specific symptom. For example, certain antidepressants (SNRIs) can help with hot flushes, anti-inflammatory drugs can relieve joint pain, and antacids can address heartburn.

Hormone-free medication is always prescribed by a doctor. It can be a good option for those who cannot or do not wish to use hormone therapy. These medications work directly on the symptom without affecting your hormonal balance, allowing you to target your symptoms and support your body effectively.

Supplements

During menopause, changes occur in how your body produces energy, builds muscle, and repairs skin. You can support these processes naturally with high-quality supplements. Magnesium, vitamin D, and omega-3 are recommended for every woman going through menopause. Supplements can also target specific symptoms, such as hot flushes, poor sleep, and night sweats.

The effectiveness of supplements can vary from person to person. This depends on factors such as your lifestyle and overall health. The quality of the product also plays a role in how well it works. Therefore, choose high-quality supplements without unnecessary fillers.

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