Tired All the Time and Can’t Sleep?

March 7, 2026
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Tired All the Time and Can’t Sleep?

Insomnia and Sleep Disruption During Perimenopause

If you’re over the age of 40 and you have trouble falling asleep or can’t seem to get a good night’s sleep, it could be one of the symptoms of perimenopause. Sleep disturbances are a common part of the transition leading to menopause, and you may experience them even before your periods start changing.


What Causes Sleep Disorders During Perimenopause?

Sleepless nights or waking up in the middle of the night can be the result of factors including:


  • Hormonal Changes: Estrogen helps in the production of serotonin and melatonin, two hormones that help you fall asleep and stay asleep. Progesterone has calming effects and promotes deep sleep. As these hormones fluctuate during perimenopause, your sleep may be affected.
  • Night Sweats and Hot Flashes: Changing hormone levels also affect your thermoregulation, making you more sensitive to changes in body temperature. When hot flashes happen at night, you may wake up sweaty and uncomfortable, then have difficulty falling back asleep.
  • Stress: High levels of stress can increase your nighttime cortisol levels, causing you to wake up and then have trouble falling asleep again.


Get the Rest You Need and Deserve

At Panacea Health Haven, we believe every woman deserves to thrive during perimenopause, not just endure the symptoms that often accompany this stage of life. That’s why we offer personalized care that focuses on prevention and healthy lifestyles, including nutrition, physical activity, stress management, and social connection. Our team is dedicated to helping you improve your quality of sleep, which will also help to improve your quality of life!


We offer telehealth medicine and personalized wellness services for clients in Panama City, FL; Niceville, FL; Crestview, FL; Miramar Beach, FL; Pensacola, FL; and everywhere in the state of Florida. Contact us today for more information and treatment for perimenopause symptoms and menopause symptoms, HRT therapy, and so much more.

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While many women may think of menopause as the time during middle age that their period ends, the symptoms of menopause can last for years and occur during a stage called perimenopause. Read on to learn more about the conditions you might experience during this change.