Sleep and Night Waking in Menopause

A Wellnyra topic guide · Updated November 13, 2026

Up to six in ten women report sleep problems during the menopause transition. The pattern is distinctive: falling asleep is often fine, but you wake at 2 or 3 a.m. and cannot get back to sleep. Falling estrogen and progesterone, hot flashes and night sweats, a shifting body clock, more sleep apnea, and plain midlife stress all play a part, and poor sleep then feeds back into appetite, cravings and weight.

The guides below cover the most common causes of night waking and how to find yours, what to do in the moment, how CBT-I retrains sleep, and how sleep loss changes the hormones that control hunger. The review covers a sleep supplement marketed to this audience, with the dose of every ingredient compared with what studies actually used.

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Talk to your doctor if a symptom is new, sudden or getting worse, or before changing medication, diet or supplements. Nothing here is medical advice.

See also: Weight and belly fat · Cravings, bloating and gut