Menopause and Sleep


Menopause and sleep are closely intertwined, as the hormonal changes that occur during this period can significantly impact a woman's quality of rest. This blog post will delve into the various factors contributing to sleep disturbances in menopausal women, providing valuable insights for those seeking relief from these challenges.

We will explore common conditions such as snoring, sleep apnea, restless legs syndrome (RLS), and periodic limb movement disorder (PLMD) that may arise during menopause. Additionally, we'll examine how health-related issues such as GERD, diabetic neuropathy and vitamin D deficiency can negatively impact postmenopausal women's sleep.


To help alleviate menopause-related sleep problems, we'll present lifestyle modifications including diet adjustments and exercise routines aimed at improving hormonal balance. We will also introduce relaxation techniques designed to reduce stress levels before bedtime.

Cognitive behavioral therapy for insomnia (CBT-I) is another option worth considering; our discussion will highlight its role in managing menopause-related insomnia along with specific techniques used within this approach. Additionally, alternative therapies such as acupuncture and self-hypnosis have been found beneficial for some perimenopausal women experiencing difficulties with their slumber patterns.

HRT remains a contentious issue when it comes to dealing with menopause-related sleep issues, so we'll consider the pros and cons of utilizing this approach. By understanding the complex relationship between menopause and sleep more thoroughly through this comprehensive guide on related topics you can make informed decisions about your own well-being during this critical phase of life.

Sleep Disturbances During Menopause

Menopausal women often experience various sleep difficulties, including snoring and sleep apnea, restless legs syndrome (RLS), periodic limb movement disorder (PLMD), and insomnia.

Snoring and Sleep Apnea

Sleep apnea is a serious condition that causes breathing to repeatedly stop and start during sleep, leading to poor sleep quality and daytime fatigue. Hormonal changes affecting muscle tone in the airways can also cause snoring in menopausal women.

Restless Legs Syndrome (RLS)

Midlife women may be more prone to RLS, a condition featuring an irresistible urge to move the legs while resting or attempting sleep, potentially as a result of hormonal fluctuations that interfere with their nervous system.

Periodic Limb Movement Disorder (PLMD)

This sleep-related movement disorder, marked by repetitive leg movements during sleep onset or throughout the night, may disrupt total sleep time for midlife women experiencing it alongside other menopausal symptoms.


Difficulty falling and staying asleep is another common sleep complaint among menopausal women, often caused by hot flashes and night sweats resulting in fragmented sleep and lower sleep efficiency.

Many women go through changes in hormones during the period before menopause, which can impact their body's ability to regulate temperature, mood and stress levels leading to sleep issues. Hot flashes are a well-known menopausal symptom contributing to poor sleep quality, with postmenopausal women with frequent hot flashes more likely to report shorter total sleep time and chronic insomnia.

To address these sleep disturbances, menopausal women should consult with healthcare professionals for appropriate treatment options tailored to their needs.

Nocturnal Hot Flashes and Sleep Disruption

Menopausal women often experience sleep difficulties due to nocturnal hot flashes, which can be uncomfortable and disruptive.

Causes of Nocturnal Hot Flashes

Hormonal fluctuations, particularly in estrogen levels, are the primary cause of menopausal hot flashes and can affect the body's ability to regulate its temperature, resulting in feelings of warmth and sweating.

Impact on Overall Health

Hot flashes can cause sleep disturbances that, if left unchecked, may lead to long-term health issues such as cardiovascular disease and depression.

  • Tip: Wear light, breathable clothing made from cotton or bamboo fibers to help alleviate nighttime hot flash symptoms.
  • Note: Consult your healthcare provider if you're experiencing severe sleep disturbances due to persistent nocturnal hot flashes.

Hormone therapy may be a possibility for hot flashes, yet it carries its own potential issues and debates. Non-hormonal treatments, such as black cohosh and soy products, may be effective in regulating hormonal imbalances during menopause.

Creating an optimal sleep environment that promotes relaxation and comfort is essential, including maintaining a cool bedroom temperature, investing in moisture-wicking bedding materials, and practicing good sleep hygiene habits like establishing a consistent bedtime routine.

Health Conditions Affecting Postmenopausal Women's Sleep Quality

Postmenopausal women may experience a range of conditions that affect their sleep quality, such as GERD, diabetic neuropathy, and vitamin D deficiency.

GERD may lead to heartburn and uneasiness during slumber due to the regurgitation of stomach acid into the esophagus.

Diabetic neuropathy may cause sensory disturbances that can interfere with sleep.

Vit D insufficiency has been associated with inadequate sleep, so it's important to get sufficient Vit D through food or supplementation.

Obesity-related health issues are also common among postmenopausal women and can lead to obstructive sleep apnea, a disorder that disrupts sleep and increases the risk of heart disease.

Working closely with healthcare providers on appropriate management strategies tailored specifically for them is crucial for women experiencing any of these health issues to improve overall wellbeing and promote better sleep quality during menopause.

Lifestyle Changes for Improving Wellbeing During Menopause

As women go through the menopausal transition, it's essential to make certain lifestyle changes that can help improve sleep quality and overall wellbeing. These options include maintaining a healthy weight through diet and exercise; reducing stress by engaging in relaxation techniques like taking baths or listening to calming music; reading before bedtime; keeping bedroom temperature comfortably cool; seeking cognitive behavioral therapy for insomnia (CBT-I); trying alternative therapies like acupuncture or self-hypnosis if needed.

Maintaining a Healthy Weight

One of the most effective ways to promote better sleep during menopause is by maintaining a healthy weight. Obesity has been associated with a heightened probability of experiencing hot flashes, night sweats, and other menopausal signs. Incorporating physical activity into your lifestyle can be advantageous for managing menopausal symptoms, while simultaneously improving mood and vigor.

Stress Reduction Techniques

Reducing stress levels is another crucial aspect of managing sleep difficulties during menopause. Engaging in relaxation techniques such as deep breathing exercises, meditation, yoga, or even spending time outdoors can significantly impact your ability to fall asleep faster and stay asleep longer.

Improving Sleep Environment

  • Create a relaxing atmosphere: Ensure your bedroom is clutter-free with comfortable bedding and minimal noise distractions.
  • Maintain optimal room temperature: Keep the room cool but not too cold - around 65°F (18°C) works best for most people.
  • Limit exposure to screens: Avoid using electronic devices like smartphones, tablets, or TVs at least an hour before bedtime.

Cognitive Behavioral Therapy for Insomnia (CBT-I)

CBT-I is an effective, non-medicinal way to address sleep issues and can be particularly beneficial for menopausal women suffering from chronic insomnia. CBT-I focuses on identifying and changing negative thoughts and behaviors that contribute to poor sleep quality. It may be particularly helpful for menopausal women experiencing chronic insomnia.

Alternative Therapies

If traditional methods aren't providing relief from menopause-related sleep issues, consider exploring alternative therapies such as acupuncture or self-hypnosis. Some studies have shown that these treatments can help improve hot flashes and other symptoms associated with menopause, leading to better overall sleep quality. Always consult your healthcare provider before trying any new treatment options.

Hormone Replacement Therapy and Sleep Issues

Menopausal women often struggle with sleep disturbances due to fluctuating hormone levels, but Hormone Replacement Therapy (HRT) can help reduce hot flashes, stabilize mood swings, and maintain bone density.

  • Reduced hot flashes: HRT can alleviate the frequency and severity of hot flashes, leading to better sleep quality.
  • Better mood regulation: HRT can reduce mood swings and irritability that can disrupt sleep.
  • Maintaining bone density: HRT can help prevent fractures that could lead to pain-related sleep issues.

Nevertheless, HRT carries potential risks, including a heightened danger of blood clots, stroke, heart illness, breast cancer, gallbladder disorder and endometrial malignancy in certain situations.

Alternative treatments like phytoestrogens have been explored to address menopausal symptoms without the associated risks of traditional HRT, but more research is needed to determine their efficacy and safety.

Healthcare professionals often suggest trying non-hormonal approaches initially, such as alterations in lifestyle, melatonin supplementation or cognitive behavioral therapy for sleeping difficulties. If these approaches prove insufficient, discussing HRT with your healthcare provider can help you make an informed decision about whether this treatment might be appropriate for you.

Melatonin Supplementation and Sleep Hygiene

Menopausal women often struggle with sleep problems due to hormonal changes, but melatonin supplementation and good sleep hygiene can help.

Melatonin Benefits for Menopausal Women

  • Natural remedy: Melatonin is a safer alternative to prescription medications.
  • Fewer side effects: Melatonin has fewer reported side effects than sleeping pills or sedatives.
  • Eases insomnia: Taking melatonin before bedtime may improve overall sleep quality and reduce the time it takes to fall asleep.
  • Hormone balance support: Supplementing with melatonin might aid in stabilizing hormone imbalances, leading to improved mood and wellbeing.

Sleep Hygiene Tips for Menopausal Women

  1. Establish a consistent bedtime routine: Signal your body that it's time for rest.
  2. Avoid stimulants: Caffeine and nicotine can disrupt sleep onset.
  3. Create a relaxing bedroom atmosphere: Keep the room cool, dark, and quiet. Consider using blackout curtains or white noise machines if needed.
  4. Engage in relaxation techniques: Deep breathing exercises or meditation can help calm the mind and prepare for sleep.
  5. Limited screen time before bed: Blue light emitted from electronic devices may interfere with melatonin production, making it harder to fall asleep. Avoid screens at least an hour before bedtime.

Incorporating melatonin supplementation and good sleep hygiene practices can significantly improve menopausal women's overall quality of life during this challenging phase. Consult with a healthcare professional prior to beginning any fresh supplement routine in order to guarantee its safety and effectiveness as per individual needs. (source)

Menopausal women may experience sleep disturbances that require medical intervention, such as benzodiazepines and zolpidem.


Benzodiazepines enhance GABA's effects, helping menopausal women fall asleep faster and achieve better sleep quality.

  • Benefits: Improved sleep quality.
  • Risks: Dependence, cognitive impairment, and daytime drowsiness.
  • Note: Use only under close supervision from your doctor.


Zolpidem is a non-benzodiazepine hypnotic medication that can help menopausal women fall asleep more quickly.

  • Benefits: Effective short-term treatment for sleep onset difficulties.
  • Risks: Dependence, complex sleep-related behaviors, and next-day drowsiness.

Advise with your medical specialist before initiating any new medication regimen to discuss the dangers that could be linked with long-term usage of these drugs.

FAQs in Relation to Menopause and Sleep

Menopause and Sleep: What You Need to Know

Menopause can wreak havoc on your sleep, causing hot flashes, night sweats, and mood swings that lead to insomnia and other sleep disorders.

  • Hot flashes and night sweats disrupt temperature regulation in the body, making it difficult to stay asleep.
  • Menopausal women may be at increased risk for sleep apnea and restless legs syndrome.
  • Lifestyle changes, relaxation techniques, and alternative therapies like acupuncture can help improve sleep quality.
  • Supplements like melatonin and hormone replacement therapy (HRT) may also be effective, but should be used under medical supervision.
  • Declining estrogen levels during menopause can contribute to sleep problems by disrupting temperature regulation and affecting mood.

For more information on menopause and sleep, check out these credible sources:

  • National Sleep Foundation
  • The North American Menopause Society
  • Healthline


Dealing with menopause and sleep can be a real nightmare, but there are ways to improve your rest without resorting to hormone replacement therapy (HRT).

  • Try making some lifestyle changes, like modifying your diet and exercise routine.
  • Alternative therapies such as acupuncture and self-hypnosis techniques can also help.
  • Cognitive Behavioral Therapy for Insomnia (CBT-I) is an effective method for managing menopause-related insomnia.

While HRT remains controversial due to its associated risks, implementing some of these strategies can help you get better rest and improve your overall well-being during this time of change.

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