Home Health & Wellness Sleep Strategies for Women in Menopause: Managing Symptoms and Improving Quality of Life

Sleep Strategies for Women in Menopause: Managing Symptoms and Improving Quality of Life

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Embarking on the journey through menopause can be filled with both physical and emotional challenges. The onset of this phase may bring about a series of adjustments in the body, affecting daily routine and overall health. For women in their late 40s or older, one of the most profound changes often involves disturbed sleep patterns.

These alterations can stem from fluctuations in hormone levels, often leading to bouts of insomnia or fitful sleep. Alongside the physical discomfort, the emotional toll can also be substantial, contributing to feelings of stress or anxiety. Therefore, understanding the factors contributing to these sleep disturbances and exploring effective coping strategies become crucial aspects of managing menopause.

Causes of sleep disturbances during menopause

Several factors contribute to sleep disturbances during menopause, including physical symptoms and psychological stress. The physical symptoms, such as hot flashes and night sweats, can disrupt sleep patterns, making it difficult to achieve a restful night’s sleep. Simultaneously, the emotional shifts and stressors related to menopause can amplify these sleep problems, creating a challenging cycle that can impact overall well-being. Furthermore, hormonal changes that are characteristic of menopause can have direct effects on sleep regulation, further compounding the issue

  • Physical symptoms. Physical symptoms such as hot flashes and night sweats can also interfere with sleep. Hot flashes are sudden feelings of warmth that can cause sweating and flushing, while night sweats are excessive sweating that occurs during the night. These symptoms can make it difficult to fall asleep and stay asleep, leading to sleep disturbances.
  • Psychological stress. Menopause can be a period of psychological stress that interferes with sleep. Anxiety, depression, and other emotional stressors can result from the physical and emotional changes women experience during menopause. These stressors can lead to sleep disturbances.
  • Lifestyle factors. Certain lifestyle factors can exacerbate sleep disturbances during menopause. This includes consumption of alcohol, caffeine, and nicotine, lack of regular exercise, poor diet, and inconsistent sleep schedules.
  • Medical conditions. The onset of menopause can coincide with the development of certain medical conditions that can affect sleep, such as sleep apnoea, restless legs syndrome, or thyroid issues.
  • Medication side effects. Some medications commonly used by women in menopause, such as hormone replacement therapy, can have side effects that include sleep disturbances.

How hormonal changes affect sleep 

The hormonal changes that accompany menopause can significantly affect sleep. Decreased hormones such as estrogen and progesterone disrupt the sleep-wake cycle and can make it difficult to fall asleep, stay asleep, and rest during the day. It can lead to physical symptoms such as obesity, which can further affect sleep quality.  

Exercise and a healthy diet may help alleviate these symptoms, contributing to improved sleep. Furthermore, implementing good sleep hygiene practices, such as maintaining a consistent sleep schedule and creating a restful sleeping environment, may also be beneficial for menopausal women experiencing sleep disturbances.

Tips and strategies for improving sleep during menopause

  • Maintain a consistent sleep schedule. Keeping a consistent sleep schedule can help regulate hormones and improve sleep quality. Try to go to bed and wake up simultaneously every day, even on weekends.
  • Establish a relaxing bedtime routine. Establishing a comfortable bedtime routine can help prepare the body and mind for sleep. This can include reading, meditating, or taking a warm bath.
  • Avoid stimulants before bedtime. Stimulants such as caffeine and alcohol should be avoided before bedtime as they can interfere with sleep.
  • Limit screen time before bedtime. The blue light emitted by electronic devices such as smartphones and laptops can interfere with sleep. Try to limit screen time before bedtime or use a blue light-blocking screen.
  • Stay active during the day. Regular physical activity can improve sleep quality. Aim for at least 30 minutes of moderate-intensity exercise most days of the week.
  • Manage stress. Chronic stress can interfere with sleep. Incorporate stress management techniques such as meditation or yoga into your routine.
  • Keep a calm sleeping environment. Hot flashes and night sweats can challenge many women during menopause. A quiet sleeping environment can help alleviate these symptoms and improve sleep quality.
  • Seek professional help. If you have any sort of sleep, please seek professional help from a healthcare provider. They can provide personalised advice and treatment options.
  • Menopause supplements. The menopause supplements contain ingredients known to help women cope with the symptoms of menopause and even promote overall health. Some of these ingredients are said to improve mood and reduce anxiety, which can be helpful when dealing with other symptoms such as hot flashes and night sweats. So you won’t wake up tired all day long.

If sleep disturbances persist, seeking professional help from a healthcare provider is recommended.

The role of sleep aids and supplements in menopause

Sleep aids and supplements can be a helpful addition to a comprehensive approach for improving sleep during menopause.

However, it is essential to remember that these should be used as a complement to lifestyle changes and under the guidance of a healthcare professional.

  • Sleep aids. Over-the-counter sleep aids, such as antihistamines, can help with sleep in the short term. However, it is essential to use these with caution as they can lead to dependence and have potential side effects.
  • Melatonin. Melatonin is a hormone naturally produced by the body that regulates the sleep-wake cycle. Melatonin supplements can help control the sleep-wake process and improve sleep quality.
  • Magnesium. Magnesium is an essential mineral that can help regulate hormones and improve sleep quality. Magnesium supplements can be helpful for women experiencing sleep disturbances during menopause.
  • Herbal supplements. Herbal supplements such as valerian root and chamomile can help calm the mind and improve sleep quality. However, these supplements can interact with other medications, so it’s important to use them under the supervision of your doctor.
  • Cognitive behavioural therapy. Cognitive behavioural therapy for insomnia (CBT-I) is a structured programme that helps you identify and replace thoughts and behaviors that cause or worsen sleep problems with habits that promote sound sleep. Unlike sleeping pills, CBT-I helps you overcome the underlying causes of your sleep problems, and it’s often recommended as the first line treatment for insomnia. 


The journey through menopause, while challenging, is a natural phase of life that all women experience. Remember, it’s about finding what works best for you and implementing those changes consistently. You don’t have to face these sleep disruptions alone; support is available, be it through healthcare professionals, supplements, or lifestyle adjustments. Ultimately, the goal is to improve your sleep quality, enhancing your overall well-being during this significant transition in your life.

Ellen Diamond, a psychology graduate from the University of Hertfordshire, has a keen interest in the fields of mental health, wellness, and lifestyle.

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