Sleep tips when you’re in menopause

Those going through their menopause journey can experience symptoms severe enough to impact their physical and mental wellbeing, such as night sweats and disturbed sleep. Louise Wright explains why this happens and how you can improve your sleep with ten lifestyle tips.

The Sleep Foundation found that around 12% of women, in general, experience sleep issues but for women in their 40s and 50s this increases to 40%, and for those experiencing menopause this increases dramatically to nearly 50%.

Common sleep problems during menopause

The most common issues with sleep during menopause include:

Why does menopause affect sleep?

The hormones that link menopause and sleep are oestrogen and progesterone, both of which decline during the menopause. This subsequently affects the body’s internal clock, also known as the circadian rhythm or sleep-wake cycle, due to the impact on serotonin.

Oestrogen in particular also helps with body temperature regulation and therefore with less of it, people can experience higher body temperatures and lower quality of sleep.

How to sleep better during menopause

It’s important to discuss your symptoms and concerns with a medical practitioner, but there are lots of lifestyle-related actions you can take to support improved sleep quality. The majority of these are focused on physical activity and sleep hygiene. Here are ten tips to help you sleep soundly:

1. Follow a regular sleep schedule

Go to sleep and get up at the same time each day, even at the weekend.

2. Avoid napping

Particularly in the late afternoon or evening, as it may keep you awake at night.

3. Develop a bedtime routine

Some people read a book, listen to soothing music, or soak in a warm bath. It's recommended to ‘budget’ at least 30 minutes for winding down.

4. Avoid screen time before bed

The light from TVs, computers and mobiles can interfere with your sleep-cycle and the release of melatonin (the sleep hormone), therefore make it difficult for you to fall asleep.

5. Keep your bedroom at a comfortable temperature

Not too hot or too cold, and as quiet as possible.

6. Exercise at regular times each day –⁠ but not close to bedtime

One study showed that with a physical activity intervention (i.e. achieving at least 150 minutes of moderate activity each week), menopausal symptoms rated severe or very severe reduced significantly:

  • Hot flushes reduced from 30.1% to 11.8%
  • Sleep problems declined from 28% to 6.5%
  • Joint discomfort reduced from 52.7% to 4.4%.

Read more about how exercise can help you sleep.

7. Avoid eating large meals close to bedtime

Your digestion slows down close to bedtime, meaning the body now has to work harder when it wants to be moving to a restful state.

8. Stay away from caffeine late in the day

Caffeine (found in many coffees, teas, and chocolate) can have a half-life of 5 hours, meaning after your last caffeinated food or drink you'll still have half the amount of caffeine in your system five hours later!

Caffeine is not only a stimulant but can also block adenosine receptors in the brain, a key sleep-promoting chemical.

9. Avoid alcohol before bed 

Alcohol won't help you sleep, despite its sedative effects. Even small amounts of alcohol disrupt your quality and quantity of sleep and can induce feelings of fatigue the following day.

10. Use relaxation techniques

Relaxation is essential to a balanced autonomic nervous system and helps to stimulate the parasympathetic nervous system (PNS) axis, supporting repair and recovery.

Likened to the body’s ‘brakes’, this system helps to slow us down, prepare us for the next challenge and maintain our homeostasis (physiological balance) and circadian rhythms.

Menopause advice hub

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Last updated Thursday 16 March 2023

First published on Thursday 9 February 2023