Can declining estrogen affect sleep?

Yes, it can. During perimenopause and menopause, declining estrogen can make sleep lighter and more disrupted. It can throw off how the brain regulates sleep and make your body more sensitive to temperature shifts, so hot flashes and night sweats are more likely to wake you up. At Alloy, our doctors also look at other sleep disruptors that can show up around menopause, like more nighttime urination, anxiety, restless legs, and sleep apnea.

If your sleep trouble seems tied to hot flashes or night sweats, treating the hormonal piece can help. Estrogen is the only medication proven to relieve menopausal hot flashes and night sweats, and progesterone may help some women sleep more deeply when insomnia seems hormonally linked. These pages go into it clearly: Menopause and sleep, Can menopause cause insomnia?, and trouble with sleep. If you're looking at treatment options, here at Alloy we also have information on estradiol and progesterone.

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This answer was created using the following resources:

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• Paroxetine

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