Skip to content

How Menopause Can Affect Your Sleep Schedule

If night sweats and day sweats aren’t enough to ruin a normal day, now your clothes seem to be shrinking a bit. At least that’s what you keep telling yourself. Now the knockout punch comes; you begin to realize how menopause can affect your sleep schedule.

Women who have never had trouble falling asleep or staying asleep find that suddenly their rest is disturbed, or they can’t sleep at all. So, what does it all mean, and should you be concerned?

woman with menopause struggling with her sleep

From The “Curse” To Menopause

Menstruation has been dubbed the “curse” for a long time. Premenstrual mood swings and raging hormones are the norm for young women. Just when women think they are free from this ritual, things get turned upside down.

Menopause can last from 3 to 10 years and it is a time of major change in a woman’s life.

The ovaries control the menstrual cycle, but about one year before a woman’s last cycle, known as perimenopause, the ovaries begin to produce less estrogen and progesterone.  

In addition to these hormonal changes, women also experience physical and emotional transitions.

Elusive Sleep And Other Changes

Menopause was once commonly referred to as “change of life.” That simple description seems apropos based on all the emotional and hormonal changes a women experiences during this time. It is worth recognizing that sleep issues are not solely the result of menopause. Women of middle age are living with normal stress and increasing responsibilities which can also be a part of sleep difficulty.

As the hormones diminish, their benefits do as well.

Prior to menopause, estrogen has enhanced sex drive, energy levels, cognitive skills and mood. It helps the body use serotonin to aid in falling asleep quickly, staying asleep, and experiencing a higher quality of sleep. As it decreases during menopause, lack of estrogen leads to weight gain and fatigue, it affects concentration and mood, and, in addition, produces anxiety and sleep disruption.

Progesterone is a sleep producing hormone and it helps to keep us calm and relaxed. As these levels decrease, anxiety and restlessness increase.  

Testosterone helps boost a woman’s sex drive prior to menopause. It contributes to  energy levels and bone mass. Due to both aging and menopause, testosterone levels will fluctuate and are reduced resulting in sleep disruption.

Not all women have the same sleep issues at the same time during menopause, nor are they as severe, and some women’s sleep issues resolve post menopause.

When To Be Concerned

If your sleep schedule continues to be disrupted, or reaches the level where falls and accidents become frequent, it may be time to seek help.  Forgetfulness, difficulty paying attention, severe anxiety, and even sleep apnea can be a result of insomnia and a disrupted sleep pattern.

If menopause is severely affecting your sleep schedule, contact Atlanta Obstetrics & Gynecology at (404) 355-0320 for remedies.

Request an Appointment

COVID-19 Alert!

To ensure our patients are taken care of, we remain open, just in a limited capacity. However, if you are experiencing flu-like symptoms, or fever with cough or shortness of breath, please call our office to reschedule your appointment at (404) 355-0320. You may also contact our office for any questions.

To minimize the number of people in the office, please come to your appointments alone. We apologize for any inconvenience, but we are happy to Facetime your loved ones!

For your safety and the safety of nurses, doctors, and other patients, we are requesting that you please wear a mask to the office.

For our pregnant patients who are anticipating a visit to the hospital soon, we ask that you limit visitors to just 1 healthy visitor per patient for Labor & Delivery, Antepartum, and Postpartum rooms.  This is to protect you, your baby, and your family/visitor.

We appreciate your understanding.

Frequently Asked Questions About COVID-19

Tour Information for COVID-19

Online Childbirth Education (Due to COVID-19, our classes will be cancelled temporarily. However, this is a great resource to use!)

Follow us on social media for more information! 


Atlanta Obstetrics & Gynecology Logo