Menopause: The two sleep symptoms warning of perimenopause – it’s not hot flashes

can occur for women in their 40s or 50s, however, it could be younger than that. It’s described as the natural biological process which marks the end of menstrual cycles. Hot flashes are a common symptom but there are two other lesser-known signs.

Sleep disturbances are common during the perimenopause, menopause and post menopause, said Women’s Health Concern.

The health site added: “Figures given for how many women experience sleep disturbance during the menopause range from 28 to 63 percent.

“The menopausal decline of oestrogen contributes to disrupted sleep by causing menopausal symptoms.

“Joint aches and pains, and bladder problems such as passing urine at night, are also common consequences of oestrogen decline and can cause sleep disruption.”


Sleep disturbances can also be described as:

Difficulty getting to sleep

Difficulty staying asleep (awakening during the night)

Early morning wakening

Less total sleep time

Overall quality of sleep (non-restorative)

Problems with sense of well-being

Overall functioning

Sleepiness/fatigue during the day.

You can usually begin HRT as soon as you start experiencing menopausal symptoms and will not usually need to have any tests first, said the NHS.

The national health body added: “A GP can explain the different types of HRT available and help you choose one that’s suitable for you.

“You’ll usually start with a low dose, which may be increased at a later stage. It may take a few weeks to feel the effects of treatment and there may be some side effects at first.

“A GP will usually recommend trying treatment for three months to see if it helps. If it does not, they may suggest changing your dose, or changing the type of HRT you’re taking.”

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