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Trouble sleeping during menopause? Here's what you can do (step by step)

Geschreven door: Ebrina van der Bijl

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Gepubliceerd op:

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Leesduur: 8 min

One of the common complaints during menopause is sleep problems. Hormonal fluctuations can cause hot flashes, sleep apnea, and altered circadian rhythms, which can significantly disrupt your sleep.

Menopause is already a challenging time for many women, and sleep problems make it even harder. They can make you feel even more tired, emotional, and irritable.

Are you having trouble sleeping during menopause? You're certainly not alone: ​​up to 79% of women experience it.(1)

In this article, you'll learn why you sleep poorly during menopause. I'll also explain step-by-step what you can do to sleep better.

Sleep problems during menopause are caused by hot flashes, sleep apnea, hormonal fluctuations and changes in the biorhythm, which affect sleep.

Improve sleep quality with a cool bedroom, regular bedtimes, a healthy diet, relaxation techniques, exercise, and natural supplements such as magnesium.

Supplements such as magnesium, vitamin B6, 5-HTP and valerian can help with serotonin production, relaxation and sleep.

Causes of poor sleep during menopause

These are the causes of poor sleep during menopause:

  1. Hot flashes - Hot flashes can disrupt your sleep because the sudden heat and sweating wake you up or make it harder to fall back asleep.
    This can lead to sleepless nights and daytime fatigue.
  2. Sleep Apnea - You also have an increased risk of sleep apnea during menopause, especially in the postmenopausal period. (1) With sleep apnea, your breathing temporarily stops during sleep, causing you to wake up frequently and often feel tired and irritable during the day.
    This is caused by the changing hormones during menopause, which lead to lower muscle tension in the airways, which can cause sleep apnea.
  3. Changes in hormones
    Not only your estrogen, but also progesterone and serotonin levels drop during menopause. All three hormones influence your mood and sleep.
    When your body suddenly produces fewer of these hormones, it affects your mood. It can make you feel more emotional and unstable than before, and you're more susceptible to stress and anxiety, which can affect your sleep.
  4. Changing your internal clock
    Serotonin also plays a role in the production of melatonin, the hormone that helps you fall asleep at night. And less melatonin leads to a change in your internal biological clock mechanism.
    So your wake and sleep rhythm changes!

Step by step to better sleep during menopause

Fortunately, by prioritizing exercise, nutrition, and rest, you can reduce or even prevent your sleep problems.

With these tips you will learn step by step how to sleep better during menopause.

Step 1. Ensure a quiet and cool bedroom

Ensure a dark, cool, and quiet bedroom with blackout curtains and a comfortable temperature of around 18 degrees Celsius. Ventilation is also essential.

This will help you sleep better and prevent hot flashes.(2).

Wear breathable cotton nightwear and use cotton sheets to help your body dissipate heat.

Step 2. Go to bed at the same time every day

Try to go to bed and get up at the same time every day, even on weekends.

This helps regulate your biological clock and can improve sleep quality.

Step 3. Limit caffeine, alcohol and sugar

Caffeine keeps you awake, while alcohol disrupts REM sleep, and sugary foods cause fluctuations in your blood sugar levels. Avoiding these foods before bed can therefore help you fall asleep more easily.

Additionally, caffeine, alcohol, and sugar are hot flash triggers for many women, which also keep you awake at night.(3)

Step 4. Relax before going to bed

Take time to relax before bed, for example through meditation, deep breathing exercises, reading or a warm bath.

When you relax, you lower your heart rate and blood pressure, which signals to your body that it's time to sleep. Relaxation also helps reduce stress and tension, which can otherwise disrupt your sleep.

What works best for you? Make it a regular ritual. The product below can help you naturally relax before bed.

Step 5. Exercise for at least 30 minutes every day

Exercise can significantly improve sleep quality.(4) It doesn't have to be intense; walking or cycling are also effective. Aim to exercise for at least 30 minutes every day.

And have you ever tried yoga? To build muscle strength, I recommend Ashtanga yoga, a traditional yoga style that follows a fixed series of poses. Or Vinyasa yoga, a dynamic style where movements are synchronized with the breath.

Preferably do your training in the morning, but certainly not just before going to bed.

Step 6. Support your body with natural supplements

During menopause, your body's needs change. Ideally, you'd get all the nutrients you need from a varied and healthy diet. But sometimes that's not possible.

Natural supplements can be a valuable addition in that case.

Examples of supplements that contribute to a better night's sleep and mood during menopause are: Magnesium and vitamin B6 and certain herbal extracts such as Valerian.

There is a lot of choice and it can sometimes feel overwhelming to make a choice.

I'm happy to help you on your way:

Natural supplements that help with poor sleep

There are several nutritional supplements that can provide natural and gentle support for sleep problems during menopause, including vitamins, minerals and herbal extracts.

1. Magnesium: Support for your sleep

Magnesium can help you sleep better in several ways:

  1. It helps your muscles relax, which contributes to a better night's sleep.
  2. It supports the production of serotonin , which regulates your mood and helps produce melatonin. Together, they are essential for good sleep and a stable mood.
  3. It helps maintain your body's electrolyte balance . During the night, you can lose significant fluid and minerals, such as magnesium, due to night sweats or hot flashes. This loss can cause muscle cramps and fatigue.

If you choose to take extra magnesium in the form of a supplement, the maximum safe dosage is 250 mg per day.

A good example of a high-quality magnesium supplement is Magnesium & Taurine.

It contains two easily absorbable types of magnesium in optimal dosage:

  • Magnesium bisglycinate (better absorbed in the brain); and
  • Magnesium citrate (better absorbed in muscles)

To maximize magnesium absorption, we combine these two forms of magnesium with Taurine, active vitamin B6 and D3.

2. Vitamin B6 and 5-HTP (serotonin)

During menopause, your hormones become imbalanced, affecting your sleep, mood, and energy. One of the causes is a drop in serotonin, a key neurotransmitter that regulates your mood and sleep.

Your body needs vitamin B6 and a substance called 5-HTP (5-hydroxytryptophan) to produce serotonin:

  • 5-HTP is derived from the amino acid tryptophan, which is found in protein-rich foods. It's a direct precursor to serotonin, meaning your body converts it directly into serotonin.
  • Vitamin B6 is necessary for this conversion process.

Our product Serobooster has been specially developed to support this natural process. It contains, among other things:

  • 300 mg of top-quality Griffonia extract in the world with 25% 5-HTTP. Griffonia simplicifolia is a plant-based source of 5-HTP, the building block of serotonin.   
  • Safe dosage of active B6 of 1.4 mg. This active form of B6 can be used directly by the body.

3. Valerian

Valerian is a plant with a root that has been used for thousands of years for its calming properties. It grows in North America, Asia, and Europe and has light pink, purple, or white flowers.

The root helps promote a healthy night's sleep, makes falling asleep easier, and helps you relax during stressful periods.(5)

Our natural sleep aid Sleep & Mood contains 100mg of high quality valerian 10:1 extract, combined with chamomile, both in a safe dosage, so you don't wake up feeling groggy.

Frequently Asked Questions

Why do I sleep worse during menopause?

During menopause, your hormones change. This can cause hot flashes, waking up more often during the night, a shift in your sleep-wake cycle, and sometimes even sleep apnea. This combination makes it harder to fall asleep and sleep deeply.

How do I know if my sleep problems are related to menopause?

If you're experiencing typical menopausal symptoms like hot flashes, night sweats, mood swings, or irregular periods, in addition to poor sleep, there's a good chance menopause is a contributing factor. If you're unsure, discuss your symptoms with your doctor.

What can I do right away to sleep better during menopause?

Make sure your bedroom is cool and dark, stick to regular bedtimes and wake-up times as much as possible, limit caffeine, alcohol, and sugar in the evening, and have a relaxing evening ritual that includes reading, calm breathing, or meditation.

What bedroom temperature is pleasant during menopause?

Many women sleep better in a cool bedroom around eighteen degrees Celsius with good ventilation. Airy cotton nightwear and cotton bedding help to better dissipate heat and sweat.

What can I do about nighttime hot flashes that disrupt my sleep?

Keep your bedroom cool, wear light clothing, use several thin layers of bedding that are easy to throw away, and avoid common triggers like hot drinks, alcohol, and spicy foods in the evening. If you continue to experience significant discomfort, consult your doctor.

Does exercise help with sleep problems during menopause?

Yes, regular exercise during the day can contribute to better sleep quality. Even just thirty minutes of walking, cycling, or some other form of exercise daily is beneficial. It's best to avoid strenuous exercise right before bed.

What role does caffeine, alcohol, and sugar play in poor sleep during menopause?

Caffeine can keep you awake longer, alcohol disrupts deep sleep, and sugar can cause fluctuations in your blood sugar. Especially in the evening, these factors can affect your sleep and sometimes trigger hot flashes.

Can natural supplements be a helpful addition if I have trouble sleeping during menopause?

Some women choose supplements containing magnesium, vitamin B6, or herbal extracts to complement their diet and lifestyle. Always consult a doctor or health professional and don't consider supplements a substitute for a healthy lifestyle or medical examination.

When should I see my GP if I have sleep problems during menopause?

Contact your GP if you experience prolonged poor sleep, are exhausted during the day, experience frequent night sweats or hot flashes, or if your symptoms are interfering with your daily functioning. Your GP can assess your condition, rule out other causes, and discuss appropriate next steps.

Ebrina van der Bijl - Natural Performance

Ebrina van der Bijl

Ebrina is a nutritionist with a deep commitment to healthy eating and a sustainable lifestyle, based in beautiful Portugal. Her passion for natural and organic products is at the heart of her work. With a background in Nutrition & Dietetics and experience in product development and writing, she translates complex scientific information into practical advice for a balanced lifestyle.

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Sources used:

  1. Salari, N., Hasheminezhad, R., Hosseinian-Far, A., Rasoulpoor, S., Assefi, M., Nankali, S., Nankali, A., & Mohammadi, M. (2023). Global prevalence of sleep disorders during menopause: a meta-analysis. Sleep And Breathing , 27 (5), 1883–1897. https://doi.org/10.1007/s11325-023-02793-5
  2. Chevance, G., Minor, K., Vielma, C., Campi, E., O'Callaghan-Gordo, C., Basagaña, X., Ballester, J., & Bernard, P. (2024). A systematic review of ambient heat and sleep in a warming climate. Sleep Medicine Reviews , 75 , 101915. https://doi.org/10.1016/j.smrv.2024.101915
  3. Faubion, S.S., Sood, R., Thielen, J.M., & Shuster, L.T. (2014). Caffeine and menopausal symptoms. Menopause The Journal Of The North American Menopause Society , 22 (2), 155–158. https://doi.org/10.1097/gme.0000000000000301
  4. Kredlow, M. A., Capozzoli, M. C., Hearon, B. A., Calkins, A. W., & Otto, M. W. (2015). The effects of physical activity on sleep: a meta-analytic review. Journal Of Behavioral Medicine , 38 (3), 427–449. https://doi.org/10.1007/s10865-015-9617-6
  5. Shinjyo, N., Waddell, G., & Green, J. (2020). Valerian Root in Treating Sleep Problems and Associated Disorders—A Systematic Review and Meta-Analysis. Journal Of Evidence-based Integrative Medicine , 25 , 2515690X2096732. https://doi.org/10.1177/2515690x20967323