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Writer's pictureSandra Todd

Restless nights: Navigating sleep challenges through the menopause



Menopause can indeed significantly impact sleep patterns for many women. Fluctuating hormone levels during menopause, particularly declining levels of oestrogen and progesterone, can disrupt the body's natural sleep-wake cycle. Common sleep issues during menopause include:


  1. Insomnia: Many women experience difficulty falling asleep or staying asleep during menopause. This can be due to hot flashes, night sweats, or anxiety.

  2. Hot flashes and night sweats: These sudden feelings of heat can occur at night, leading to sleep disturbances and waking episodes.

  3. Mood disturbances: Mood swings, irritability, and anxiety are common during menopause and can contribute to sleep difficulties.

  4. Restless legs syndrome (RLS): Some women may develop RLS during menopause, causing uncomfortable sensations in the legs and an urge to move them, which can disrupt sleep.

  5. Sleep apnea: Although less common in women than in men, sleep apnea can become more prevalent during menopause, contributing to sleep fragmentation and daytime fatigue.

Improving sleep during menopause involves addressing the underlying causes of sleep disturbances while adopting healthy sleep habits. Here are some strategies to consider:




  1. Maintain a Consistent Sleep Schedule: Go to bed and wake up at the same time every day, even on weekends, to regulate your body's internal clock.

  2. Create a Relaxing Bedtime Routine: Develop calming activities before bed, such as reading, taking a warm bath, or practising relaxation techniques like deep breathing or meditation.

  3. Optimise Your Sleep Environment: Make sure your bedroom is cool, dark, and quiet. Consider using blackout curtains, white noise machines, or earplugs to minimize disruptions.

  4. Manage Stress: Practice stress-reduction techniques, such as mindfulness, yoga, or progressive muscle relaxation, to help calm the mind before bedtime.

  5. Limit Stimulants: Reduce or eliminate caffeine and alcohol intake, especially in the evening, as they can interfere with sleep quality.

  6. Stay Active: Regular exercise can improve sleep quality and help manage menopausal symptoms. Aim for at least 30 minutes of moderate exercise most days of the week, but avoid vigorous activity close to bedtime.

  7. Mind Your Diet: Avoid heavy meals, spicy foods, and large amounts of liquids before bedtime to prevent indigestion and night-time bathroom trips.

  8. Manage Hot Flashes and Night Sweats: Dress in layers, use moisture-wicking bedding, and keep a fan or cool pack by the bedside to help manage temperature fluctuations.

  9. Seek Professional Help if Needed: If sleep problems persist despite making lifestyle changes, consult with a healthcare provider. They can help identify underlying issues and recommend appropriate treatments, such as cognitive-behavioural therapy for insomnia (CBT-I).

To find out more on how I can help you to get to the root cause to improve your sleep quality associated with the menopause book a free support call by clicking the link below:



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