What causes insomnia during menopause?

Stephen K. Montoya, MD
OBGYN (Obstetrics & Gynecology)
Insomnia during menopause is caused by lack of estrogen, says Stephen Montoya, MD, an OB/GYN at Sunrise Hospital. In this video, he adds that hot flashes also interrupt sleep. 
Masoud Sadighpour
Masoud Sadighpour on behalf of MDLIVE
Internal Medicine
This is a complex issue.
  • Hormonal changes which causes some level of mood disorder.
  • Menopause for some might bring the idea of losing womanhood which might be a source of anxiety or depression.
  • As recent research showed, human being sleeping pattern was different in old ages. It consisted of 2 blocks of 3-4 hours of sleep. New social structure which made us to go to work early morning and electricity pushed these 2 blocks of sleep in one block of 7-8 hours of sleep. Now think about Menopause for mothers with grown up children means some "retirement from family obligations". Then there is no obligation to wake up at 6-7 am and help the kids to get ready. Does it mean that now our gene kicks in again and women wake up earlier in the morning?
  • The more we grow older, there is more chance we snore and develop "sleep apnea" which also can make our sleep fragmented.
Hope I gathered enough information here. For further reading please feel free to cruise: http://lasleepdr.com/10/common-sleep-disorders/insomnia
Dr. Mehmet Oz, MD
Cardiology (Cardiovascular Disease)
Whether it's trouble falling asleep or difficulty staying asleep, many women suffer from insomnia during menopause. Symptoms of insomnia can also include waking up too early in the morning, waking up often during the night, or nonrefreshing sleep. Although there are many causes of insomnia during menopause, it's usually related to decreasing levels of progesterone, a sleep-promoting hormone, and estrogen, a hormone that helps manage stress.
Staness Jonekos
Health Education
Most of us blame night sweats for insomnia, but I was surprised to find out that many menopausal insomniacs don’t suffer from night sweats at all. So what’s keeping us up at night?

Empty nest syndrome, caring for aging parents, relationship changes, career adjustments and mid-life stress, bundled together with hormones in flux, is a recipe for sleepless nights. Progesterone is our sleep-promoting hormone, so a decrease in this hormone contributes to a night of tossing and turning. Declining estrogen can make you more susceptible to stress, fueling this sleepless potion.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.