Sleep & Hormones

Perimenopause insomnia.

If you fall asleep fine and wake at 2–3 AM unable to drop back off, you don't have a sleep hygiene problem — you have a hormone problem. Progesterone calms the GABA system. When it falls, the brain re-wakes mid-cycle.

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Serving Lowell, Fayetteville, Rogers, Bentonville, Springdale & Bella Vista — Northwest Arkansas

  • Sleep through the night
  • Calmer nervous system
  • Less anxiety
  • Better mornings
  • Energy through the day
  • Mood lift

What we look at

Progesterone, estradiol, cortisol rhythm (4-point salivary or urinary), blood sugar overnight, thyroid, and sleep apnea screening — which rises sharply in menopause.

What works

Oral micronised progesterone at bedtime is the workhorse. Estradiol stops sweats from waking you. We add magnesium glycinate, glucose stabilisation at dinner, and treat any apnea found.

FAQ

Frequently asked questions.

+Will melatonin fix this?

Rarely — melatonin helps you fall asleep, not stay asleep. Progesterone is the perimenopause workhorse.

+Could it be sleep apnea?

Yes — apnea risk rises sharply in menopause, even at normal weight. We screen everyone with persistent waking.

Related services

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Ready to feel like yourself again?

Book a one-on-one consultation with Dr. Tammy and get a personalized plan built around your labs, symptoms, and goals.

Questions? Give us a call.

Our staff would love to help you choose the service that's right for you.

Call 479-715-3928