@rebloommd: Asleep by ten. Awake at three. Every single night. This is one of the most common perimenopause symptoms and one of the most dismissed, because "trouble sleeping" sounds like a habit problem instead of a hormone problem. Shifting estrogen and progesterone directly affect how long you stay asleep. You do not have to white knuckle another year of this. www.ReBloomMD.com #Menopause #Perimenopause #Insomnia #MidlifeWomen #WomensHealth