Find a Location

Find a Location

  Use My Current Location

    Sleep is an essential part of being healthy and feeling like your best self. Yet, many of us struggle to get enough sleep at night. If you feel like you’re sleeping even worse after menopause, you might be right. Hormone changes can negatively affect sleep in many ways. However, estrogen replacement therapy may improve sleep quality for menopausal women. In this article, we’ll explore some of the evidence and why it’s important to address your sleep problems with our team of healthcare providers.

    Studies Show Estrogen Replacement Therapy May Improve Your Sleep

    Happy woman after improving her sleep with estrogen replacement therapy during menopause

    Estrogen replacement therapy may improve your menopause-related sleep problems.

    We have long known that sleep problems can increase after menopause. Women are already predisposed to insomnia compared to men, but after menopause, risks increase. For instance, sleep complaints shoot up from 12% in premenopausal women to approximately 40% for women of menopausal age, according to the Sleep Foundation.

    Many women experience insomnia during menopause. Frequent daytime fatigue is also another common symptom. In addition, menopause can increase your risk for many sleep disorders, including sleep apnea and restless legs syndrome (RLS). Many women also experience poor REM sleep.

    A lot of these issues may be due to hormone changes during menopause, particularly low estrogen and progesterone. Therefore, many scientists have looked at the effects of estrogen replacement therapy on sleep and whether it can help menopausal women sleep better.

    Much of the evidence suggests that hormone replacement therapy can improve sleep. For instance, one 2017 study published in the North American Menopause Society’s journal, Menopause, found that low dose hormones during menopause improved sleep quality for women who recently entered menopause.

    We’ll look at some other studies later in this article that suggest that estrogen may improve sleep after menopause as well. However, these results are promising that estrogen replacement therapy may be able to reduce many sleep symptoms associated with menopause.

    How Low Estrogen & Progesterone Affect Sleep for Menopausal Women

    Why might estrogen replacement therapy be so beneficial for sleep quality after menopause? To understand this, it’s important to know how menopause affects sleep, especially through two hormones: estrogen and progesterone.

    Estrogen and progesterone are key hormones that control menstruation and pregnancy. During menopause, these hormones start to fluctuate and decline until you stop having a period. This causes many symptoms, including things like hot flashes, mood changes, and vaginal dryness. Hormone levels during menopause can also interfere with your sleep.

    Hormones May Affect Your Circadian Rhythm & REM Sleep

    Researchers are still studying how and why low estrogen and progesterone may interfere with good quality sleep. However, it may be due to changes in your circadian rhythm and REM sleep. These are both essential for good quality sleep.

    Circadian rhythm is like your body’s internal clock. It tells you when you should sleep and when you should be awake in a 24-hour period. Many things can influence your circadian rhythm, including light. Your hormones may also affect your circadian rhythm, such as how estrogen and progesterone control menstruation.

    Some studies have even found that estrogen can affect REM sleep. REM stands for rapid eye movement and is one of the deeper stages of sleep. REM sleep stimulates areas of the brain necessary for dreaming, memory retention, emotional processing, and learning. One study from 2013 found that estrogen may play an important role in REM and non-REM sleep in rats.

    Therefore, estrogen and progesterone themselves may influence the processes in your body responsible for quality sleep.

    Menopause Symptoms May Disrupt Sleep

    In addition, many menopause symptoms can also interfere with sleep, further compounding the problem. Menopause can come with many distressing symptoms, including:

    • Hot flashes
    • Night sweats
    • Anxiety
    • Depression
    • Frequent urination

    All these symptoms can also disrupt sleep. Hot flashes and night sweats can make it hard to get comfortable enough to fall asleep. Anxiety may have your mind racing, or even cause fast breathing and heart rate that make it feel impossible to sleep. Depression often causes insomnia. Frequent urination can cause you to get up multiple times at night to use the bathroom, fragmenting your sleep and often making it hard to fall back asleep.

    As you can see, many of the symptoms can make it hard to get a good night’s sleep during menopause.

    Why is Sleep Quality Important?

    You’ve been told sleep is important for your health, but it’s important to understand exactly why. Sleep helps repair your body and mind so it can function properly. Sleep quality is basically whether you’re getting enough restful sleep.

    Poor sleep quality can cause many short- and long-term effects. In the short-term, it can cause mood changes like:

    • Irritability
    • Memory problems
    • Difficulty staying alert
    • Higher risk for accidents
    • Poor quality of life

    If you’ve ever had a bad night’s sleep, then you likely already know just how bad it can affect you and your entire day.

    The long-term effects of poor sleep quality on your health. Some of these include an increased risk for:

    • High blood pressure
    • Diabetes
    • Heart attack
    • Heart failure
    • Stroke
    • Obesity
    • Depression

    In addition to these increased health risks, poor sleep can also seriously affect your appearance. Poor sleep can reduce the amount of collagen in your skin, which can lead to premature wrinkles. Poor sleep quality can also lead to permanent dark circles under the eyes. Both wrinkles and dark circles under the eye can make you look older and cause many people to feel self-conscious.

    Therefore, it’s important for adults to get between seven and nine hours of sleep each night. Also, if you frequently wake up feeling unrested, find yourself unable to sleep, or wake up frequently throughout the night, talk to our providers. We can help determine causes of your sleep problems and provide treatments to help you sleep better for your health and overall well-being.

    How Estrogen Replacement Therapy Can Help Improve Sleep

    If you’re having a hard time getting good quality sleep during menopause, it may be time to talk to our hormone doctor for help. Many studies have found that hormone therapy during menopause can improve many sleep symptoms you might be experiencing.

    Estrogen Replacement Therapy May Increase Sleep Quality

    As we’ve mentioned, many studies have looked at the effects of hormone therapy on sleep quality with positive results. In addition to the 2017 study where low dose estrogen replacement therapy helped improve sleep, there are many other studies that seem to confirm this.

    For instance, one 2019 study also found that hormone therapy can help with sleep quality. In the study, the women received combination hormone therapy, which includes both estrogen and progesterone. Compared to the placebo group, the women using hormones saw a significant increase in self-reported sleep quality. The results were immediate and long-lasting, with the women seeing sleep improvements in just one month.

    Estrogen Replacement Therapy Can Alleviate Menopause Symptoms

    If it’s your menopause symptoms keeping you up at night, estrogen replacement therapy can help with that, too. Estrogen is one of the most effective treatments today for hot flashes and night sweats, which often lead to poor sleep. Hormone therapy can also help with many of the other symptoms that interfere not only with sleep, but your everyday life.

    Research from 2008 found that hormone therapy during menopause has many positive effects on sleep, menopause symptoms, and even joint pain. In the study, the women who used hormone therapy were less likely to experience sleeplessness, hot flashes, night sweats, and joint pain, all of which can negatively impact sleep quality.

    Therefore, estrogen replacement therapy might be the right choice for you if you’re sleeping poorly during menopause.

    Find Solutions for Your Sleep at HerKare

    Our team at HerKare is here to help you improve your overall health. If you’re going through menopause and dealing with unwanted symptoms like insomnia, poor sleep quality, hot flushes, and mood changes, get in touch with our healthcare team. We identify and treat underlying causes of your symptoms to help you feel your best. Whether you need estrogen replacement therapy for menopause sleep issues or need CPAP therapy for sleep apnea, we are here to help you get a good night’s sleep. Make an appointment now at one of our convenient clinic locations to learn how we can help you start feeling better.