The Midlife Woman’s Guide to Understanding and Managing Insomnia in Perimenopause

*Why Can't You Sleep Anymore? 5 Reasons Sleep Falls Apart in Perimenopause (and What Helps)* You used to be a good sleeper. Now you're wide awake at 3am, drenched in sweat, or exhausted despite eight hours in bed. That's what this episode addresses. In this episode, I break down the 5 biological and psychological reasons sleep gets disrupted in perimenopause, and what actually helps. We cover: — Why estrogen's role in temperature regulation and sleep architecture disrupts sleep as it fluctuates — Why declining progesterone triggers the classic 3am wake-up (it's about cortisol) — How age-related melatonin decline compounds everything else — Obstructive sleep apnea and restless leg syndrome, and why they're missed in midlife women — The psychological load of the sandwich generation years — Treatment options: hormone therapy, CBT-I, sleep studies, key labs, morning light, movement, and supplements These symptoms are biological and common, but they're also treatable. Subscribe for more episodes on the intersection of hormones, brain chemistry, and mental health. 🔗 Learn more: elementalintegrativepsych.com The content on this channel is for educational purposes only and does not constitute medical advice. Please consult a qualified healthcare clinician for diagnosis and treatment of any medical or psychiatric condition. The views expressed are my own and do not represent those of any organization, institution, or employer. Chapters 00:00 Why Sleep Falls Apart in Perimenopause 01:30 Reason 1: Estrogen's Two Jobs 03:00 Reason 2: Progesterone, Cortisol & the 3am Wake-Up 04:30 Reason 3: Melatonin Decline 05:30 Reason 4: Sleep Apnea & Restless Leg Syndrome 07:00 Reason 5: The Psychological Weight of Midlife 08:30 What Actually Helps 11:00 Next Week: OCD in Pregnancy & Postpartum #Perimenopause #MidlifeSleep #WomensHealth #SleepScience #Menopause #HormonesAndSleep #IntegrativePsychiatry