03/23/2026
Can we talk about sleep for a minute?
Not just "are you getting enough of it" but what's actually happening to sleep in perimenopause and why it feels so different than it used to.
Estrogen + progesterone both play a role in sleep regulation. As those hormones fluctuate, so does your ability to fall asleep, stay asleep, and actually feel rested when you wake up.
Night sweats are the obvious culprit but they're not the only one. Anxiety that shows up at 2am. Waking for no reason. Sleeping a full night and still feeling exhausted.
And that matters because it means there's actually something to work with here. It's not just stress. It's not just age. Your hormones are running the show.
Sleep is also not separate from everything else going on in your body. Poor sleep raises cortisol --> Elevated cortisol affects weight, mood, immune function, and hormone balance.
It is one of the most important and most overlooked levers in midlife wellness.
If your sleep has changed and you've been chalking it up to stress or age, it might be worth looking a little closer.
What does your sleep look like these days? I'm curious how many of you are dealing with this. Share with me đđź