Sleep Struggles in Perimenopause? Here’s My Story

grayscale photo of sleeping woman lying on bed

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Are you tossing and turning at night, feeling like sleep has become your arch-nemesis? You’re not alone! Did you know that up to 61% of perimenopausal women report sleep disturbances?

As someone who’s been there, done that, I’m here to tell you that there’s hope.

In this ultimate guide, you’ll learn about the world of perimenopausal sleep symptoms and arm you with information to manage those restless nights based on my experience.

How Perimenopause Affects Your Sleep – And What to Do

Understanding perimenopausal sleep symptoms was like trying to crack a secret code without the key. When I first started experiencing those midnight wake-ups and sweaty sheets, I had no clue what was going on. I thought I was just stressed about work or maybe drinking too much coffee. Nope, turns out it was something completely different.

So, what’s this perimenopause thing, anyway? Well, it’s your body’s way of saying, “Alright, time to wrap up the baby-making business!” It’s the transition period before menopause hits, and let me tell you, it can wreak havoc on your sleep. I remember the first time I realized something was off. I’d always been a champion sleeper – you know, the type who could snooze through a tornado. But suddenly, I was waking up at 3 AM every night, wide awake and wondering why my pajamas were soaked. Not cool, body. Not cool at all.

The common sleep symptoms during perimenopause? Oh boy, where do I start? There’s the classic insomnia – both trouble falling asleep and staying asleep. Then there’s the night sweats, which I affectionately call my personal midnight sauna sessions. And let’s not forget the vivid dreams that make you feel like you’ve run a marathon by morning. Fun times, right?

What’s behind this sleep saga? it’s all thanks to our good ol’ hormones doing the cha-cha. Estrogen and progesterone, those sneaky little troublemakers, start fluctuating like crazy during perimenopause. One day you’re fine, the next you’re a 2 AM hot mess.

Estrogen, in particular, is a big player in this sleep drama. It helps regulate your body temperature and is involved in the production of sleep-inducing chemicals in your brain. So when it starts to dip, your sleep takes a nosedive. Thanks a lot, estrogen!

Now, you might be thinking, “Well, isn’t this just regular insomnia?” Nope, not quite. Perimenopausal sleep issues have their own special flair. Regular insomnia is usually triggered by stress, anxiety, or bad sleep habits. But perimenopausal insomnia? It’s got a hormonal twist that makes it extra special (and by special, I mean annoying).

For one thing, perimenopausal sleep problems often come with those lovely night sweats I mentioned earlier. You don’t typically get those with regular insomnia. Plus, the sleep disturbances during perimenopause can be more erratic. One week you’re sleeping like a baby, the next you’re up all night watching infomercials.

The frustrating part is that these sleep issues can last for years. Yep, you heard that right. Perimenopause isn’t a quick phase – it can drag on for 4 to 8 years. That’s a lot of potential sleepless nights!

But don’t lose hope! Understanding what’s going on with your body is the first step to finding solutions. Once I figured out what was causing my sleep problems, I felt less like I was losing my mind and more like I was tackling a challenge.

So, if you’re in the same boat, tossing and turning night after night, know that you’re not alone. Millions of women are right there with you, cursing their hormones and dreaming of a good night’s sleep.

The good news? There are ways to manage these symptoms and reclaim restful nights.

Remember, every woman’s experience with perimenopause is different. Some sail through with barely a ripple, while others (like yours truly) feel like they’re riding a hormonal rollercoaster. But knowledge is power, ladies. The more you learn about what’s happening to your body, the better equipped you’ll be to handle it.

So, the next time you find yourself staring at the ceiling at 3 AM, remember—it’s not you, it’s your hormones. And while that might not bring instant comfort, at least you’ll know what you’re dealing with.

Lifestyle Changes to Improve Sleep During Perimenopause

According to the MAYO Clinic, lifestyle changes can help manage menopause symptoms from creating a better sleep environment to gentle exercise and acupuncture. Let’s take a deeper look.

Create a sleep-friendly environment

First up, creating a sleep-friendly environment. I used to roll my eyes at this stuff, thinking it was just fluff. But wow, was I wrong. I remember finally caving in and transforming my bedroom into a sleep sanctuary. The TV, bright alarm clock, and even my trusty phone charger were banished. In their place came blackout curtains and a white noise machine. It felt a bit over-the-top, but that first night of blissful, uninterrupted sleep?

Establish a consistent sleep schedule

Establishing a consistent sleep schedule was a tough one for me. I mean, I’m a grown woman, do I really need a bedtime? Turns out, yes! Our bodies crave routine, especially during perimenopause. So, I set a regular bedtime and wake-up time—even on weekends! It was tough at first, but after a few weeks, my body caught on. Now, I’m off to dreamland by 10 PM. Who even am I now?

Importance of regular exercise (and the best times to do it)

I used to be one of those “I’ll sleep when I’m dead” types, hitting the gym at 9 PM and wondering why I couldn’t fall asleep afterward. Rookie mistake. Turns out, timing is everything when it comes to exercise and sleep. I’ve found that a good workout in the late afternoon or early evening works wonders for my sleep. It tires me out just enough, but gives my body time to cool down before bed. Plus, it helps balance those perimenopausal mood swings. Win-win!

Dietary adjustments to support better sleep

Now, onto the dreaded topic of diet. I love my evening glass of wine and late-night snacks as much as the next gal, but they weren’t helping my sleep. Cutting back on alcohol and avoiding heavy meals close to bedtime made a huge difference. And caffeine! My beloved afternoon latte had to go. It was a sad farewell, but my sleep quality improved dramatically. Now, I’m all about herbal teas and light, sleep-friendly snacks in the evening.

Stress management techniques for improved sleep quality

Between work, family, and these lovely hormonal shifts, stress was keeping me up more nights than I care to admit. I tried everything – yoga, meditation, deep breathing exercises. You name it, I’ve probably given it a shot. What worked best for me? A combination of things, actually. I started a bedtime journaling routine to get all those swirling thoughts out of my head and onto paper. And I discovered progressive muscle relaxation. Who knew tensing and relaxing your muscles could be so darn soothing?

One thing I’ve learned through all of this is that consistency is key. You can’t just try these changes for a day or two and expect miracles. It took me a good month of sticking to my new routine before I really started to see results. There were nights I wanted to revert to old habits, but I’m glad I persevered.


And let’s be real here – some nights, despite doing everything “right,” sleep just doesn’t come. It’s just part of the perimenopausal package, I guess. On those nights, instead of tossing and turning and getting frustrated, I get up and do something relaxing until sleep comes again. No point in fighting it.

The bottom line? making these lifestyle changes hasn’t always easy, but these are the best solutions for me.

Better sleep means better days, better moods, and feeling more like myself again. And in this perimenopausal rollercoaster, that’s worth its weight in gold.


So, if you’re struggling with sleep during perimenopause, give these changes a try. Be patient with yourself, and remember that what works for one person might not work for another. It’s all about finding your own sleep sweet spot. And hey, if nothing else, at least you’ll have plenty of time to catch up on your reading during those sleepless nights!

Natural Remedies and Supplements for Perimenopausal Sleep

I’ve tried so many things that my bathroom cabinet resembles a mini health food!

Let’s start with herbal teas.

Herbal teas and their sleep-promoting properties

At first, I thought, “How can a simple cup of tea tackle these wild hormones?” But surprisingly, they helped! Chamomile has been my companion for years, but during perimenopause, I discovered the magic of valerian root tea.

Fair warning though, it smells like sweaty gym socks. But if you can get past the smell, it can really help with sleep. Lavender and lemon balm teas also became my favorites, offering a warm, soothing hug from the inside.

Essential oils for relaxation and better sleep

Essential oils opened up a whole new world for me. My first attempt with lavender oil was a bit excessive—I added too much to my diffuser and woke up like I’d slept in a lavender field! Not unpleasant, but definitely overwhelming. After some trial and error, I found that a blend of lavender, chamomile, and cedarwood works wonders for me. Just a few drops in the diffuser or on my pillow and I’m off to dreamland.

Magnesium and other minerals that may help

Magnesium, ….the mineral of the moment …and I can understand why. I had no idea how important it was for sleep until my doctor suggested I try it. Turns out, lots of us are deficient in magnesium, and it can really mess with your sleep. I started taking a magnesium supplement before bed, and it’s made a huge difference. Just be careful not to take too much, or you’ll be running to the bathroom all night. Trust me on this one!

Melatonin: pros, cons, and proper usage

Melatonin is a tricky one. It’s like that friend who’s great in small doses but can be a bit much if you hang out too often. I’ve found that it can be really helpful for occasional sleepless nights, especially when my schedule is off. But using it every night? Not so great. It can actually mess with your body’s natural melatonin production if you use it too often. Plus, I had some pretty wild dreams when I took it regularly. Not exactly the restful sleep I was going for!

CBD oil: emerging research and potential benefits

Then there’s CBD oil. Initially, I was a bit apprehensive. But after researching and consulting my doctor, I decided to give it a try. And I gotta say, it’s been pretty amazing for my sleep, helping me relax without morning grogginess. Just make sure you get it from a reputable source and start with a low dose. And of course, check with your doctor first, especially if you’re on any medications.

What I’ve learned through all this is that what works for one person might not work for another. It’s about finding your perfect mix. Don’t expect instant miracles—some remedies took weeks before I noticed a difference.

I remember one night, about a month into my “natural sleep remedy” journey. I had my magnesium, drank my chamomile tea, diffused some lavender oil, and took my CBD. I felt like I was preparing for some sort of sleep Olympics! But you know what? That night, I slept like a baby for the first time in months. It was glorious


The key is patient and persistent. Finding the right natural remedies for perimenopausal sleep is like putting together a puzzle. Sometimes you have to try a few pieces before you find the right fit. And what works great one month might not be as effective the next, thanks to our ever-changing hormones.

Even with all these natural remedies, there are still nights when sleep just doesn’t come easily. And that’s okay. Instead of stressing about it (which only makes it worse), I’ve learned to accept it as part of the perimenopausal package. On those nights, I just get up, make myself a cup of herbal tea, and read a good book. Sometimes, that’s all it takes to drift off.

So, if you’re in the throes of perimenopausal sleep issues, don’t lose hope. There are lots of natural options out there to try.

Medical Interventions for Persistent Sleep Issues

When to consult a healthcare provider?

First off, when should you reach out to a healthcare provider? I learned the hard way by waiting too long, thinking I could tough it out. But after countless nights of tossing, turning, and waking up drenched in sweat, I finally decided enough was enough. My advice? Don’t be a hero—get help sooner rather than later. If sleep troubles are messing with your daily life and you’ve exhausted lifestyle tweaks and natural remedies, it’s time to call in the experts.

Now, let’s talk about hormone replacement therapy (HRT). This was a daunting decision for me. Messing with hormones? Scary stuff! But my doctor explained how HRT could tame those wild hormones disrupting my sleep. And guess what? It made a world of difference. Within weeks, the night sweats subsided, and I was catching some real z’s. It’s not for everyone, though, and there are risks, so make sure to hash it all out with your doc.

So, make sure you have a good, long chat with your doctor about the pros and cons.

Hormone replacement therapy (HRT) and its impact on sleep

Now, let’s talk about hormone replacement therapy (HRT). This was a daunting decision for me. Messing with hormones? Scary stuff! But my doctor explained how HRT could tame those wild hormones disrupting my sleep. And guess what? It made a world of difference. Within weeks, the night sweats subsided, and I was catching some real z’s. It’s not for everyone, though, and there are risks, so make sure to hash it all out with your doc.

Non-hormonal medications for sleep management

But HRT isn’t your only option. There are non-hormonal meds for sleep, too. My physician suggested a low-dose antidepressant often used for sleep issues. I was skeptical—wasn’t I just tired, not depressed? But these meds actually helped regulate my sleep patterns. Finding the right dose took some trial and error, and the initial side effects were no picnic. But once we nailed it, my sleep improved significantly.

Cognitive Behavioral Therapy for Insomnia (CBT-I)

Then there’s Cognitive Behavioral Therapy for Insomnia (CBT-I). This is all about rewiring your brain’s approach to sleep. I remember my first CBT-I session. The therapist asked me to keep a sleep diary, and I thought, ” “If I could sleep long enough to write about it, I wouldn’t be here” But I gave it a shot, and it helped me identify patterns and behaviors that were sabotaging my sleep without me even realizing it.

One of the toughest parts of CBT-I was sleep restriction—limiting the time in bed to match actual sleep time.. It sounds counterintuitive, right? But it’s designed to build sleep pressure, helping you fall asleep faster and stay asleep. Those first weeks were brutal—I was cranky!  But gradually, my sleep efficiency improved, and I started feeling more rested.

Sleep studies: when they’re necessary and what to expect

I put this off for ages because the thought of sleeping (or trying to sleep) while hooked up to a bunch of wires sounded like my own personal nightmare. But when my doc suggested I might have sleep apnea on top of my perimenopausal issues, I knew I had to go through with it.

The night of my sleep study was… interesting, to say the least. I felt like a science experiment with all those sensors stuck to me. And of course, it was one of those rare nights when I actually fell asleep quickly. Go figure! But you know what? The data they gathered was invaluable. Turns out, I did have mild sleep apnea, which was contributing to my sleep issues. Who knew?

Looking back, I wish I’d been more proactive about seeking medical help for my sleep problems. I spent so many nights staring at the ceiling, thinking it was just something I had to endure. But there are real, effective medical interventions out there.

Technology and Tools to Track and Improve Sleep

My adventures with technology and tools for tracking and improving sleep during perimenopause…..

Sleep tracking apps and wearables: pros and cons

First up, sleep tracking apps and wearables. I dove head-first into this trend, eager to have a gadget confirm just how bad my sleep really was. I started with a popular fitness tracker that promised to keep tabs on my sleep patterns. Initially, I was hooked—checking my sleep score every morning. Green, orange, red—what a colorful view of my restless nights!

But here’s the thing – sometimes these trackers can be a bit… let’s say, overly optimistic. There were nights when I knew I’d been up half the night, tossing and turning, but my tracker would cheerfully inform me that I’d had 7 hours of deep, restful sleep. Um, excuse me? I think I would’ve noticed that!

On the flip side, there were nights when I felt like I’d slept like a baby, only to have my tracker tell me I’d barely hit REM sleep. Talk about a buzzkill! I started to get a bit neurotic about it, honestly. I’d lay in bed, thinking, “Okay, body, time to sleep. Get that score up!” Not exactly conducive to drifting off peacefully.

That being said, these trackers can be useful for identifying patterns over time. I noticed that my sleep quality tended to dip around the same time each month, which helped me prepare better for those rough nights. Just take the data with a grain of salt, and don’t let it stress you out more than the actual sleep issues!

White noise machines and sleep sound apps

Now, onto white noise machines and sleep sound apps. These have been a game-changer for me. I used to think they were just for babies or super light sleepers. But desperation during my bouts of insomnia led me to try them out. I started with a free app, cycling through sounds—ocean waves (too beachy), rainforest (too creepy), and finally, the perfect fan-like white noise minus the chill

I started with a free app on my phone, cycling through different sounds. Ocean waves? Too beachy. Rainforest? Too many creepy animal noises. But then I found it – the perfect white noise that sounded like a fan but without the chill. Hallelujah!

I got so hooked on my white noise that I invested in a proper machine. No more worrying about my phone battery dying in the middle of the night! Plus, it helped drown out my husband’s snoring, which was an unexpected bonus.

Light therapy devices for regulating circadian rhythms

Then there were light therapy devices. Initially, I thought, “Great, another gizmo for my growing sleep aid collection.” But they’re actually pretty nifty. I got a sunrise alarm clock that gently lights up my room in the morning. Waking up to a simulated sunrise beats a blaring alarm any day. It’s helped reset my circadian rhythms, which perimenopause had thrown into chaos. There was that one daylight savings mishap that had me up at 4 AM, but hey, I caught a real sunrise!

Cooling pillows and mattresses for hot flash relief

Now let’s not forget cooling pillows and mattresses. Oh. My. Goodness. Where have these been all my life? When hot flashes had me feeling like a human furnace, I knew I needed relief. Skeptical of the hype, I tried a cooling pillow. Surprise—it worked wonders! That cool side of the pillow feeling, all night long. I even whispered sweet nothings to it. No judgment until you’ve been there!

Emboldened by my pillow success, I decided to go all out and invest in a cooling mattress. It was a bit of a splurge, but let me tell you, it was worth every penny. No more waking up in a pool of sweat! Between the cooling mattress and my beloved pillow, my night sweats became much more manageable.

There was a bit of a learning curve, though. The first night, I cranked up the cooling too high and woke up shivering. Finding the right temperature took some trial and error, but now it’s perfect. My husband jokes that sleeping with me is like camping in the Arctic, but hey, at least one of us is sleeping well!

One thing I’ve learned through all this tech experimentation is that while these tools can be super helpful, they’re not magic bullets. They work best when combined with good sleep hygiene and lifestyle habits.

With a little tech help and patience, you’ll find your sleep sweet spot.

Mindfulness and Relaxation Techniques for Better Sleep

Guided meditation for sleep

First up, guided meditation for sleep. I was skeptical at first—me, meditate? My brain races faster than a hyperactive squirrel. But desperation makes you try anything, right? So there I was, tucked in bed, listening to some smooth-talking guy tell me to “picture a serene beach.”

That first attempt was a comedy of errors. I spent the session pondering if I’d remembered to buy cat food and mentally redecorating my living room. But I didn’t throw in the towel. It took a few tries (okay, maybe a few weeks), but eventually, that silky-voiced narrator became my nighttime pal. Who would’ve thought?

Progressive muscle relaxation

With Progressive Muscle Relaxation, the idea is to tense and then relax each muscle group in your body, one at a time. Sounds simple, right? Well, let me share my first attempt, especially for those dealing with restless legs. There I was, tensing my toes with all my might, when suddenly – CRAMP!

Lesson learned—no need to tense like you’re trying to bench press a truck! Once I got the hang of it, it was bliss. For anyone with restless legs, systematically releasing tension can be oddly satisfying. Just avoid starting with your toes if you’re cramp-prone like me!

Breathing exercises to calm the mind

Now, breathing exercises. Who knew we’ve been breathing wrong all this time? I started with the 4-7-8 technique: breathe in for 4 counts, hold for 7, exhale for 8. Easy peasy, right? Wrong. The first time I tried it, I got so focused on counting that I forgot to breathe altogether.

Once I figured it out (and remembered breathing is crucial), it worked wonders. On nights when my mind is whirring with to-do lists and “did I switch the laundry?” thoughts, a few rounds of 4-7-8, and I’m out like a light.

Yoga poses to practice before bedtime

Last but not least, yoga poses before bedtime. Now, I’m about as flexible as a brick, so I approached this one with caution. I started with some simple stretches, thinking, “This isn’t so bad.” Then I tried a more advanced pose I saw online. Big mistake. There I was, at 11 PM, stuck in some pretzel-like position, wondering if I’d have to sleep like this because I couldn’t figure out how to untangle myself.

After that incident (and a stern talking-to from my chiropractor), I stuck to gentler poses. Child’s pose became my new best friend. And you know what? It works! A few gentle stretches before bed really do help me relax and prepare for sleep.

Top Tip

Don’t try to do all these techniques every night. Rotate through them, depending on how I’m feeling. Some nights, a guided meditation is just what I need. Other nights, when I’m feeling particularly tense, progressive muscle relaxation does the trick.

Oh, and don’t be afraid to modify these techniques to suit your needs. For example, I found that traditional guided meditations sometimes made me more anxious!

Perimenopause is like a box of chocolates – you never know what you’re gonna get. Some nights, these techniques will work like a charm. Other nights, not so much. And that’s okay. The important thing is to keep trying, keep experimenting, and most importantly, keep your sense of humor.

Conclusion

We’ve covered a lot of ground and hope you find the points in my guide helpful to you on your perimenopause journey.

From understanding those tricky perimenopausal sleep symptoms to uncovering a treasure trove of solutions, you’re now armed with the knowledge to face those sleepless nights head-on.

Remember, ladies, this journey is unique for each of us, so don’t be afraid to mix and match these strategies until you find your perfect sleep recipe. The path to restful nights might have a few bumps, but with persistence and the right tools, you’ll be catching those Z’s in no time.

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