Understand
Why sleep often changes in perimenopause
What is understood about the link, described without claiming to explain your particular nights.
5 minSource: The Menopause Society

What is commonly described
Sleep disturbance is one of the most frequently reported experiences of the menopause transition.
Several things tend to overlap: hot flashes and night sweats that wake people, shifts in mood and anxiety, and changes in the hormones involved in sleep regulation.
Life stage matters too. These are often years with teenagers, aging parents, and demanding work. None of that is hormonal, and all of it affects sleep.
What Narrated will not do
We cannot tell you which of these explains your nights, and we will not guess. What we can do is help you keep a clear record to take to someone who can examine you.
Source
General background from The Menopause Society. Individual care decisions belong with your own clinician.
Sleep is where memory consolidates and mood resets. It compounds further than almost anything else here.
General information, not medical advice. Narrated never diagnoses.
More in Narrated Sleep
A ten-minute wind-down that ends the day
A short, repeatable sequence that tells your body the day is finished.
10 min · Narrated
When you wake at 3am
What tends to help when you are awake in the middle of the night and cannot get back down.
4 min · Narrated
Keeping the night cooler
The practical changes women most often say made night sweats more manageable.
3 min · Narrated
Get the weekly letter
One useful email a week on perimenopause and menopause. What the studies say, in plain words. Free.
Or find out what is happening to you, free, in two minutes.