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Saturday 17 October 2026 06:35:22 GMT
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Waking up at 3 a.m. every night in your late 30s/40s can be a perimenopause symptom, even if you never get a hot flash. Sleep problems show up for 40 to 60% of women around menopause. About 1 in 4 women in perimenopause meet the criteria for insomnia. Here’s what most people miss. In a sleep lab study, about 7 in 10 nighttime hot flashes came with an awakening. But hot flashes explained only about 27% of the time women spent awake. Something else was keeping them up. Progesterone is part of that story. It has a calming effect on the brain, and in a controlled study it reduced time awake in postmenopausal women. As ovulation becomes less reliable in perimenopause, you make less of it. After menopause, breathing problems during sleep also become more likely. Before you accept a sleep aid, ask for: 1. A full hormone panel: FSH, estrone, estradiol, progesterone, total and free testosterone and SHBG. If you still cycle, draw estradiol and progesterone on day 19 to 21. 2. A sleep apnea screen bc sleep apnea looks different in women vs. men and it’s often missed.  A sleep aid can get you through a night. It won’t tell you why you keep waking up. Comment LABS and I’ll send you the full lab list. Nava’s discounted intake bundle is $249 through the link in bio. It includes 70+ labs, 1 hour with a medical provider and 1 hour with a licensed nutritionist. Our medical providers and licensed nutritionists have over 12 years of experience in hormones and root cause medicine. Sources: Baker FC, et al. Sleep Med Clin. 2018. doi:10.1016/j.jsmc.2018.04.011 de Zambotti M, et al. Fertil Steril. 2014. doi:10.1016/j.fertnstert.2014.08.016 Schüssler P, et al. Psychoneuroendocrinology. 2008. doi:10.1016/j.psyneuen.2008.05.013 #perimenopause #perimenopausesymptoms #menopausesleep #insomnia #hormonehealth
Waking up at 3 a.m. every night in your late 30s/40s can be a perimenopause symptom, even if you never get a hot flash. Sleep problems show up for 40 to 60% of women around menopause. About 1 in 4 women in perimenopause meet the criteria for insomnia. Here’s what most people miss. In a sleep lab study, about 7 in 10 nighttime hot flashes came with an awakening. But hot flashes explained only about 27% of the time women spent awake. Something else was keeping them up. Progesterone is part of that story. It has a calming effect on the brain, and in a controlled study it reduced time awake in postmenopausal women. As ovulation becomes less reliable in perimenopause, you make less of it. After menopause, breathing problems during sleep also become more likely. Before you accept a sleep aid, ask for: 1. A full hormone panel: FSH, estrone, estradiol, progesterone, total and free testosterone and SHBG. If you still cycle, draw estradiol and progesterone on day 19 to 21. 2. A sleep apnea screen bc sleep apnea looks different in women vs. men and it’s often missed. A sleep aid can get you through a night. It won’t tell you why you keep waking up. Comment LABS and I’ll send you the full lab list. Nava’s discounted intake bundle is $249 through the link in bio. It includes 70+ labs, 1 hour with a medical provider and 1 hour with a licensed nutritionist. Our medical providers and licensed nutritionists have over 12 years of experience in hormones and root cause medicine. Sources: Baker FC, et al. Sleep Med Clin. 2018. doi:10.1016/j.jsmc.2018.04.011 de Zambotti M, et al. Fertil Steril. 2014. doi:10.1016/j.fertnstert.2014.08.016 Schüssler P, et al. Psychoneuroendocrinology. 2008. doi:10.1016/j.psyneuen.2008.05.013 #perimenopause #perimenopausesymptoms #menopausesleep #insomnia #hormonehealth

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