Middle-aged woman sitting up in bed in the middle of the night, looking tired and staring at her bedside clock, struggling with insomnia during perimenopause.

Wide Awake and Hormonal: The Truth About Perimenopause and 3 AM Insomnia

June 22, 2024•5 min read

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Wide Awake and Hormonal: The Truth About Perimenopause and 3 AM Insomnia

"Embrace this new phase of life with the same strength and grace you’ve shown in the past." – Lisa Brooks

The Middle-of-the-Night Mystery

Let’s be real—there’s nothing quite like staring at the ceiling at 3 AM wondering why your perfectly good sleep routine betrayed you. You meditated, shut down screens, avoided wine, and maybe even wore those silly blue-light glasses. Yet here you are: wide-eyed, heart racing, maybe reaching for a snack or doom-scrolling against your better judgment.

You’re not alone. Welcome to the perimenopause sleep saga.

The Hormonal Plot Twist

Estrogen and progesterone are the hormone world’s power couple—until perimenopause hits. Then it’s like they ghost you without warning. Estrogen dips mess with serotonin and melatonin (those dreamy sleep chemicals), while progesterone—the “chill pill” hormone—packs up and peaces out. The result? You’re hot, anxious, and wide awake.

And here’s the kicker: the less you sleep, the more cortisol (your stress hormone) gets cozy. Cue the mood swings, energy crashes, and the occasional tearful meltdown in the kitchen aisle.

“Perimenopause is a vulnerable time for mood disorders,” says Dr. Amritha Bhat, psychiatrist at UW Medicine.

Hormonal chaos plus sleep deprivation? Recipe for emotional turbulence.

Why 3 AM? (Or 11 PM… or 1:17 AM…)

There’s a reason 3 AM is the classic perimenopause wake-up call. Around this time, your cortisol levels naturally begin to rise to prepare your body for morning. But when your hormones are doing the tango, that gentle rise can turn into a full-on cortisol spike—jerking you awake like someone hit your internal panic button.

That said, not everyone’s internal alarm clock is set to 3:00 on the dot. Some women find themselves wide awake at 11 PM, just after falling asleep. Others at 1 AM, 2:30 AM, or some random time that now feels cursed. These early or middle-of-the-night wake-ups can also be linked to blood sugar dips, adrenaline surges, or a nervous system stuck in “on” mode—all of which are influenced by your shifting estrogen and progesterone.

Bottom line? If you're waking up at odd hours and can’t get back to sleep, you’re not losing your mind. You’re living through a very real hormonal plot twist.


Your Midlife Sleep Survival Kit

Let’s talk solutions. Not magic wands—just real, actionable steps to help you sleep better (and maybe not yell at your toaster tomorrow morning).

🌀 Hormone Replacement Therapy (HRT)

HRT can be a game-changer for many women. By supplementing the estrogen and/or progesterone your body is producing less of, it may help ease sleep disturbances, reduce night sweats, and support emotional well-being. It’s not about achieving perfect balance (because let’s be real—that’s a myth), but about restoring enough hormonal support to help you feel like you again.

And let’s talk about progesterone—because this hormone is seriously underrated. Often called nature’s Valium, it has calming, sedative-like effects that can help you fall asleep faster and stay asleep longer. I’ve been on it for years and can honestly say it changed the sleep game for me. If you’ve been waking up with your heart racing or your thoughts spiraling, this little helper might just be your hormonal hero.

Just be sure to work with a provider who truly understands women’s midlife health.

🧠 CBTi: Therapy That Works While You Sleep

Cognitive Behavioral Therapy for Insomnia (CBTi) helps rewire the thoughts and habits that sabotage your rest. It’s science-backed and works even when your hormones don’t.

✨ Lifestyle Shifts That Actually Help

  • Move your body—strength training, walking, yoga… whatever feels good.

  • Nourish yourself with protein, healthy fats, and fiber to keep blood sugar balanced.

  • Skip the booze (I know, I know). It feels like a wind-down ritual but actually wrecks your REM. More on this in Sleep Deprived and Craving Wine? How to Cope in Perimenopause

🌿 Natural Sleep Allies

Magnesium glycinate, valerian root, passionflower tea—they’re gentle, but talk to your doctor before diving into the supplement aisle like a kid in a candy store.

🧘‍♀️ Mind-Body Reset

Meditation, acupuncture, breathwork, or even a warm bath with Epsom salts. These help calm your nervous system and remind your body it’s safe to rest. I love Insight Timer for free, calming sleep meditations.


Keep Going, Gorgeous—Morning Always Comes

Perimenopause might feel like it’s flipping your life upside down, but you’re stronger than you think. You’ve done hard things before—and this chapter is no exception.

Don’t suffer in silence. Share your story. Ask for help. Try the tools that resonate. And if something doesn’t work? Toss it and try again. Your sleep, sanity, and sparkle are worth the effort.

You’re not broken. You’re becoming.

So tonight, when you tuck yourself in, take a deep breath and know this: even if sleep gets bumpy, you’ve got options, you’ve got wisdom, and you’ve got this.

Want a deeper dive into the emotional toll of sleep struggles—and how to talk to the people who just don’t get it? Don’t miss my post: Tired, Wired, and Unheard: How Perimenopause Hijacks Sleep and Sanity.

💡 Still feeling like your hormones are driving the bus at 3 AM?
Download my free guide: Tired of Hormonal Chaos? Take Back Control!
It’s packed with simple, powerful tips to help you understand what’s going on—and what to do about it.

Want more practical support (plus a protein-packed way to feel better fast)? Grab my free guide: Protein Power Plates: 30 High-Protein Recipes to Boost Your Hormones & Energy

Hormonally yours,

Kimberlee Erin

Just a heads-up: I’m a Certified Menopause Coaching Specialist and Holistic Nutritionist, and while I love sharing what’s worked for me and my clients, this blog is for informational purposes only. It’s not a substitute for medical advice. Always check in with your healthcare provider before starting new supplements, hormones, or treatments—especially since every woman’s perimenopause journey is different. You deserve personalized care that truly fits you.

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