Insomnia and Menopause

menopause and insomnia

Menopause while it brings about various changes in a woman’s body, one of the most common and distressing symptoms is sleep disruption. Dr Joanne Hobson is the Clinical Lead Director of The Menopause Consortium and a British Menopause Society, Menopause Specialist, says she “I have seen first-hand the impact menopause-related sleep problems can have on women’s lives.” In this blog, Dr Hobson explains the intricate relationship between menopause and insomnia, exploring the hormonal factors at play, the prevalence of insomnia, and effective strategies to promote restful sleep during this life stage.

Hormones and Sleep: A Complex Dance

Hormones are the body’s chemical messengers, orchestrating countless processes, including sleep. During menopause, significant hormonal changes occur. Two key players in menopause-related sleep disturbances are oestrogen and progesterone. These hormones not only regulate the menstrual cycle but also influence sleep patterns.
Oestrogen has a calming effect on the body and promotes the production of serotonin, a neurotransmitter associated with mood regulation and sleep. As oestrogen levels decline during menopause, this can disrupt the sleep-wake cycle, leading to difficulties falling asleep and staying asleep.
Progesterone, on the other hand, has a sedating effect and promotes deep, restorative sleep. As its production dwindles during menopause, women may experience lighter, less restful sleep.

Menopause and Insomnia: A Common Companion

Insomnia, characterized by difficulty falling asleep, staying asleep, or waking up too early, is a frequently reported symptom during menopause. According to the Women’s Health Concern, approximately 61% of menopausal women experience insomnia.
The underlying causes of menopause-related insomnia are multifaceted. Hormonal fluctuations, hot flashes, night sweats, and mood disturbances such as anxiety and depression all contribute to sleep disturbances. These factors can create a vicious cycle, with poor sleep exacerbating menopausal symptoms, and vice versa.

Helping Women Sleep Better

Thankfully, there are effective strategies to mitigate menopause-related sleep problems and improve overall well-being:

  1. Menopause Hormone Treatment (MHT): MHT, formerly known as Hormone Replacement Therapy (HRT), can be a game-changer for many women. It involves replacing the declining hormones (oestrogen and sometimes progesterone) with medication. MHT can alleviate hot flashes, stabilize mood, and improve sleep quality. However, it’s crucial to consult a healthcare provider to discuss the potential risks and benefits based on individual needs.
  2. Lifestyle and Routine Changes: Adopting healthy sleep habits is essential. This includes maintaining a regular sleep schedule, creating a comfortable sleep environment, and limiting caffeine and alcohol intake, especially close to bedtime. Regular exercise and stress management techniques like mindfulness and meditation can also promote better sleep.
  3. Dietary Adjustments: Certain foods, like spicy or acidic dishes and Alcohol can trigger hot flashes and disrupt sleep. Maintaining a balanced diet and avoiding these triggers, particularly in the evening, can make a significant difference.


The Crucial Link Between Sleep and Health

The importance of quality sleep cannot be overstated. It plays a fundamental role in maintaining overall health and well-being. During sleep, the body repairs tissues, consolidates memories, and regulates various bodily functions. Chronic sleep disturbances have been linked to an increased risk of chronic conditions such as heart disease, diabetes, and cognitive decline.

In the words of Women’s Health Concern, “Sleep is essential for good physical and mental health. Lack of sleep can affect mood, memory and concentration and can lead to depression, stress and anxiety.” This underscores the urgency of addressing menopause-related sleep issues promptly.

Menopause brings about hormonal changes that can disrupt sleep patterns, often leading to insomnia. However, with the right strategies, including MHT, lifestyle and routine adjustments, and dietary modifications, women can improve their sleep quality and overall quality of life. Prioritising sleep during menopause is not only beneficial for immediate comfort but also for long-term health and well-being.

As we navigate the night, let us remember that sleep is a precious resource that can be nurtured and protected, even during the challenges of menopause.



Quote: “Sleep is essential for good physical and mental health. … Lack of sleep can affect mood, memory and concentration and can lead to depression, stress and anxiety.” – Women’s Health Concern Factsheets.