Entering the stage of menopause is a natural part of every woman’s life, but it’s not always a smooth ride. For many, the journey is like a rollercoaster, filled with new experiences and unexpected twists. A common but perplexing issue that about 60% of women face during this time is sleep problems, or menopause insomnia.

Sleep, a vital pillar of wellness, becomes a nightly challenge for nearly 60% of women during menopause. Night sweats, hot flashes, and sudden sleep problems can make it seem impossible to get a good night’s rest. But why does this happen? And more importantly, what can you do about it?

This comprehensive guide will walk you through the maze of menopause and insomnia, delving into the causes, effects, and solutions. We will explore the hormonal changes that disrupt sleep, offer natural remedies to ease these problems, and discuss dietary habits that could improve your sleep quality.

If you’ve been looking for answers or simply hoping to understand this phase of life better, this guide is for you. It promises to equip you with practical knowledge and tools to tackle menopause-related sleep problems head-on. So, sit back, relax, and let’s embark on this enlightening journey together.

Understanding Menopause Insomnia

Menopause can often bring about sudden sleep problems that were not present earlier in a woman’s life. Insomnia, a common symptom experienced by many women during menopause, is a sleep disorder characterized by persistent difficulty in falling asleep, staying asleep, or experiencing restful sleep.

During menopause, hormonal changes often exacerbate these sleep issues, leading to what’s known as menopause insomnia. Women with menopause insomnia may find themselves frequently waking up during the night, waking up too early, or struggling with daytime fatigue due to insufficient sleep.

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First Signs of Menopause Related to Sleep Problems

The impact of menopause on sleep varies throughout its stages, which include perimenopause (the beginning), menopause (middle), and post-menopause (end).


This stage can start as early as the mid-30s or 40s. Changes in estrogen and progesterone levels can lead to disrupted sleep. Symptoms like hot flashes and night sweats begin to appear, frequently causing awakenings and reducing sleep quality.


Sleep disturbances often peak during menopause, usually occurring around age 51. Falling levels of estrogen can exacerbate sleep issues, leading to increased frequency and intensity of night sweats and hot flashes. Insomnia and sleep-disordered breathing, like sleep apnea, can also occur.


After the final menstrual period, most menopausal symptoms, including sleep disturbances, gradually decrease. However, for some women, insomnia and disrupted sleep can continue, often due to residual night sweats or the development of sleep disorders.

Causes of Sleep Problems in Menopause

The fluctuating levels of hormones, such as estrogen and progesterone, are largely responsible for this shift. Estrogen helps regulate the body’s sleep cycle, mood, and temperature, whereas progesterone has a sedative effect and helps promote sleep. As the level of these hormones decreases during menopause, it can lead to a variety of sleep disruptions.

For example, low estrogen can cause hot flashes and night sweats, which can wake women up throughout the night. Additionally, a reduction in estrogen can affect the production of serotonin, a neurotransmitter that helps regulate mood, appetite, and importantly, the sleep-wake cycle. A decrease in serotonin can lead to insomnia and other sleep disturbances.

Furthermore, emotional changes and anxiety associated with menopause can also can result in fragmented sleep, night sweats, or even sleep apnea. It’s crucial for women to identify these early signs and seek help, as poor sleep can negatively affect overall health and wellbeing.

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Understanding the Sleep Hormones and Ways to Increase Them

Two hormones play crucial roles in sleep: melatonin and progesterone. Melatonin regulates the sleep-wake cycle, while progesterone has a natural sedative effect. The production of these hormones can be influenced by lifestyle factors and natural remedies.


Released by the pineal gland in response to darkness, melatonin signals to the body that it’s time to sleep. It helps regulate the sleep-wake cycle.

The production of melatonin can be increased by maintaining a regular sleep schedule, reducing exposure to light in the evening (especially from screens), and increasing exposure to natural light during the day.


This hormone has a natural sedative effect and helps promote sleep. A drop in progesterone during menopause can contribute to sleep disturbances.

Progesterone levels can be enhanced by managing stress, maintaining a healthy diet rich in B vitamins, zinc, and magnesium, and getting regular exercise.


Known as the “stress hormone,” cortisol should decrease at night, allowing the body to relax and sleep. However, high levels of stress can keep cortisol levels high, interfering with sleep.

Cortisol can be managed by reducing stress through diet and lifestyle measures as practicing meditation, yoga, relaxing activities etc.

By understanding these hormonal roles, it becomes clear why maintaining hormonal balance is crucial for good sleep, especially during menopause.

Ayurvedic Perspective of Sleep Problems in Menopause

From the Ayurvedic perspective, sleep, also known as “Nidra,” is one of the three pillars of health, alongside diet and regulated activities. It’s a vital time for the body and mind to rest, rejuvenate, and heal. However, sleep disturbances, particularly those prevalent during menopause, are often indicative of an imbalance in the body’s doshas – Vata and Pitta.

How Dosha Imbalance lead to Menopause Insomnia

Vata dosha governs movement and communication in the body. An excess of Vata can result in feelings of anxiety, restlessness, and racing thoughts – all of which can disrupt sleep. The natural increase in Vata as we age can be further exacerbated during menopause, making women more susceptible to insomnia and other sleep issues.

Pitta dosha manages digestion and transformation in the body. When Pitta is out of balance, it can lead to feelings of irritability and overheating, which might manifest as night sweats and hot flashes that disrupt sleep.

The Ayurvedic approach to promoting sleep and addressing these imbalances involves a holistic treatment plan that helps to balance dosha and hence your hormones through herbal supplements, diet and lifestyle changes. Let’s take a look into Ayurvedic natural remedies for better sleep in menopause.

Natural Remedies for Menopause Sleep Problems

Natural remedies can often provide relief from menopause sleep problems, offering a safe and non-pharmacological approach. Here are a few options:

  1. Ayurvedic Herbal supplements: Certain herbs like Ashwagandha, Brahmi, Jatamansi and Tagar are known for their sleep-promoting effects. Brahmi can help reduce hot flashes, while Jatamansi and Tagar can aid in relaxation and promote sleep.
  2. Mind-body practices: Activities like yoga, tai chi, and mindfulness meditation can help manage stress and improve sleep quality.
  3. Acupuncture: This traditional Chinese medicine practice can help balance the body’s energy, reduce hot flashes, and improve sleep quality.
  4. Aromatherapy: Essential oils, such as lavender and chamomile, have been known to promote relaxation and improve sleep.
  5. Dietary changes: Consuming foods rich in phytoestrogens (plant estrogens), such as flaxseeds and soy, can help manage menopausal symptoms.

It’s important to consult with a healthcare provider before starting any new treatment regimen.

Ayurvedic Tips to Increase Deep Sleep During Menopause

Deep sleep is essential for physical recovery and cognitive function. Here are highly helpful Ayurvedic tips to increase deep sleep during menopause:

  1. Follow a Consistent Sleep Schedule: Ayurveda emphasizes the importance of a routine. Try to go to bed and wake up at the same time every day, even on weekends, to regulate your body’s internal clock.
  2. Practice Abhyanga (Self-Massage): This ancient Ayurvedic practice involves massaging your body with warm sesame or coconut oil. It’s best done before bedtime to calm the nervous system, relieve stress, and promote a good night’s sleep.
  3. Create a Peaceful Sleep Environment: Keep your bedroom dark, quiet, and cool. Consider using an eye mask, earplugs, or a white noise machine if necessary. According to Ayurveda, your surroundings greatly influence your wellbeing.
  4. Sip on Ayurvedic Herbal Teas: Chamomile, Ashwagandha, Brahmi, and Valerian root are known in Ayurveda for their sleep-promoting properties. Drinking a cup of tea made from these herbs before bedtime can help relax your mind and body, preparing you for deep sleep.
  5. Yoga and Meditation: Regular practice of gentle yoga poses and meditation can help calm the mind, reduce menopause symptoms, and promote better sleep. Consider poses like Legs-Up-The-Wall (Viparita Karani) or Corpse Pose (Savasana) before bed.
  6. Diet: Ayurveda suggests a balanced diet rich in sleep-promoting foods like cherries, almonds, and warm milk. Avoid heavy, spicy, or greasy foods close to bedtime.
  7. Use Ayurvedic Herbs and Spices: Turmeric, Cumin, Coriander, and Fennel have calming properties. Incorporate these in your dinner to help you sleep better.
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Remember, what works for one person might not work for another. Ayurveda is all about personalization, so it’s essential to find what works best for you. If sleep problems persist, consider consulting an Ayurvedic practitioner for personalized advice.


Navigating through the trials and tribulations of menopause can often feel like a solitary journey. The sleepless nights and constant unrest may leave you feeling drained and seeking effective solutions. Remember, you’re not alone in this quest. Many women experience similar challenges during this phase of life, and finding relief can be hard, but it’s not impossible.

At Medhya Herbals, we understand the complexities of menopause and the distress sleep problems can cause. We believe in addressing these concerns from their roots. Our team of experienced Ayurvedic doctors offers personalized treatment plans, tailored to your unique needs and circumstances. We believe in harnessing the wisdom of Ayurveda, which views health and wellness holistically, and employs natural methods to restore balance, promote rejuvenation, and improve quality of life.

Don’t let menopause and its related sleep problems steal your peace of mind. Schedule a consultation with us today. Allow us to guide you through this transition, using the time-tested principles of Ayurveda, and help you reclaim your restful nights and energetic days. Because every woman deserves a menopause journey that’s as serene as the dawn after a restless night.


Does Menopause Insomnia Go Away?

Menopause insomnia is typically linked to the hormonal changes that occur during this phase. As the body adjusts to these changes, symptoms like insomnia can decrease and eventually go away. However, the duration of menopause symptoms varies among individuals, and some women may experience sleep problems for several years. It’s crucial to seek help and manage symptoms effectively to maintain good health and quality of life.

How do I know if my insomnia is hormonal?

Identifying hormonal insomnia isn’t always straightforward, but there are certain signs that may indicate your sleep troubles are linked to hormonal imbalances. If your insomnia is associated with certain phases of your menstrual cycle, or if it has developed or intensified during periods of hormonal change like menopause, it could be hormonal. Other tell-tale signs include night sweats, hot flashes, mood swings, or feelings of anxiety or depression that coincide with sleep problems. Accompanying symptoms such as unexplained weight changes, fatigue, or changes in skin and hair can also suggest a hormonal cause. It’s essential to consult with a healthcare provider for an accurate diagnosis if you suspect hormonal imbalances are impacting your sleep.

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Why do I wake up at 3am?

Waking up at 3am regularly might seem peculiar, but it can actually be linked to several factors. From an Ayurvedic standpoint, the early hours of the morning (approximately 2am to 6am) are governed by Vata, the dosha associated with movement and activity. If your Vata is imbalanced, it might cause you to wake up during this period. In a broader sense, waking up around this time can also be associated with stress, anxiety, or underlying health issues. Hormonal changes during menopause, such as fluctuations in estrogen and progesterone levels, can also disrupt your sleep cycle and cause you to wake up at odd hours. If this pattern persists, it’s important to seek advice from a healthcare provider to address any potential underlying causes.

What hormone gets you ready for sleep?

The hormone primarily responsible for preparing your body for sleep is melatonin. Produced by the pineal gland in the brain, melatonin release is influenced by the day-night cycle, with levels increasing as it gets darker to signal to your body that it’s time to sleep. During the night, melatonin levels stay elevated, helping you stay asleep. As morning approaches, melatonin production drops, preparing your body to wake up. However, factors such as age, stress, exposure to artificial light in the evening, and certain health conditions can disrupt melatonin production and potentially impact sleep quality.

Why is menopause so bad at night?

Menopause can feel particularly challenging at night for several reasons. Hormonal fluctuations associated with menopause, such as decreasing levels of estrogen and progesterone, can lead to sleep disruptions. These hormonal changes can trigger symptoms like night sweats and hot flashes, which are known to disturb sleep. Additionally, lower levels of estrogen can cause feelings of anxiety or mood swings that can make it harder to fall asleep or stay asleep. The decrease in progesterone, a hormone that has sedative properties and promotes sleep, can also lead to more frequent awakenings. Furthermore, these symptoms can create a cycle of sleeplessness, as the lack of restful sleep may exacerbate other menopausal symptoms.

Why can’t I sleep at night even when I’m tired?

Struggling to sleep even when you’re exhausted can be incredibly frustrating, and it can be caused by a number of factors. Stress and anxiety are common culprits, as they can make it hard for your mind to wind down, even when your body is craving rest. Similarly, an overactive mind, perhaps due to worry or overthinking, can also prevent sleep. Hormonal imbalances associated with conditions like menopause can interfere with your body’s natural sleep-wake cycle. Certain lifestyle habits can also contribute, such as consuming caffeine or alcohol close to bedtime, using electronic devices in bed, or having an irregular sleep schedule. In some cases, underlying health conditions like sleep apnea, restless legs syndrome, or chronic pain can make it hard to fall asleep or stay asleep, even when you feel tired.

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About the Author

Dr. Pawan Bansal (Ayurveda Acharya)

Namaskar! I am a registered Medical Practitioner with more than 40 years of experience in Ayurvedic and Herbal treatment. Ayurvedic principles allow us to awaken the incredible physician within our body, help us to attain our potential, to perform, and to heal naturally.
Some areas in which I have successfully applied Ayurvedic medicine – Cysts, PCOS, Obesity, Fibroids, Infertility, Chronic Digestive Disorders, Autoimmune Disorders such as ​Thyroiditis, IBS, Rheumatoid Arthritis, Joint Pain, Inflammation, Chronic Cough, and Sinusitis.

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