Menopausal sleep problems are primarily attributed to hormonal fluctuations, particularly decreases in oestrogen and progesterone levels. These changes not only disrupt sleep patterns but also contribute to other common menopausal symptoms. Additionally, age-related declines in melatonin production, coupled with increased stress levels, create a challenging environment for restful sleep.

Many women I speak to suffer from menopausal symptoms and anxiety at night. Women are typically very stretched during midlife as they often have to juggle teenage children, support elderly parents and maintain their working life. These demands all tend to come together at a time when a woman’s hormones are changing, leaving her feeling less able to cope.