Megan Foreman, MSN, RN, FNP-C
March 28, 2025

Sleep Struggles During Menopause: Can Hormone Therapy Improve Restful Sleep?

Megan Foreman, MSN, RN, FNP-C

It’s 3 a.m. You’ve counted every sheep, fluffed every pillow, and tried to meditate your way into dreamland—twice. Meanwhile, your thoughts are sorting through tomorrow’s tasks like they’ve got a deadline to meet at sunrise. If this sounds familiar, you’re not alone. For many women, perimenopause and menopause bring a whole new meaning to the phrase “wide awake.”

Hormonal shifts during this stage of life don’t just cause hot flashes and mood swings—they often hijack your sleep, too. And let’s face it: when you’re not sleeping well, everything else starts to unravel. Energy dips, mood tanks, memory fog rolls in, and even the simplest tasks can feel overwhelming. It’s more than just being tired—it’s like you’re running on fumes with no pit stops in sight.

Why Sleep Goes Sideways During Menopause

Sleep disruptions during menopause and perimenopause are largely driven by fluctuating hormone levels, particularly estrogen and progesterone. These hormones help regulate your body’s internal clock, influence temperature control, and even impact mood—all factors in a good night’s sleep.

According to a 2023 review in the World Journal of Psychiatry, hormone therapy (HT) has shown benefit in improving sleep quality among menopausal women by alleviating associated symptoms like hot flashes and mood changes [source]. Another study on PubMed Central underscores that estrogen therapy alone—or in combination with progesterone—can be particularly effective in improving sleep among perimenopausal and postmenopausal women [source].

The Lyons Health and Wellness Approach

At Lyons Health and Wellness, we know there’s no one-size-fits-all fix for sleep or hormone imbalance. That’s why our hormone care plan is personalized for each patient. Whether you’re navigating perimenopause, menopause, or other contributing factors like chronic stress, diet, or autoimmune conditions, our goal is to help restore balance—and with it, better sleep.

Hormones are powerful chemical messengers that regulate nearly every function in your body: energy, mood, immunity, metabolism, libido, and yes—sleep. When they’re out of balance, symptoms can ripple through your entire life. Night sweats, hot flashes, mood swings, and difficulty sleeping are just the tip of the iceberg.

We offer Bioidentical Hormone Replacement Therapy (BHRT), a treatment that uses plant-based hormones structurally identical to those your body produces. BHRT can be delivered via topical cream, oral supplement, or injection—whichever method is best suited to your needs.

What to Expect

We start with a comprehensive intake visit where we dive deep into your symptoms, medical history, nutrition, exercise habits, sleep patterns, and more. Lab tests are ordered (typically covered by insurance), and at your follow-up visit, we create a treatment plan tailored just for you.

For those seeking regular support, we offer a $99/month subscription that includes unlimited visits, emails, and phone check-ins after the initial $200 intake appointment. We also accept insurance, HSA cards, and all major credit/debit cards.

Ready to Sleep Again?

You don’t have to power through sleepless nights with a pot of coffee and a prayer. If your hormones are off balance, no amount of lavender spray or sleepytime tea will fix what’s really going on.

Let’s get you back to dreaming again. Book your appointment and take the first step toward more restful sleep—and a more vibrant life.

Sources:

  1. Hormone therapy for mood and sleep disorders in menopausal women. World J Psychiatry. 2023;13(7):348-360. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514567/

  2. Estrogen supplementation in sleep disturbances. PubMed Central. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417662/

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