April 12, 2026

Why Perimenopause is Ruining Your Sleep (And How to Fix It)

Why Perimenopause is Ruining Your Sleep (And How to Fix It)
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Struggling to sleep through the night in perimenopause?

Many women do and it’s not just stress or lifestyle. In this episode of the All About You Podcast, Dr. Shauna Watts unpacks the hormonal reasons behind disrupted sleep and shares strategies that actually work.


Sleep disruption is one of the most common and overlooked symptoms of perimenopause. Dr. Watts, a GP specializing in perimenopause and menopause care, explains why poor sleep in midlife isn’t just “part of getting older.” It’s hormonal, biological, and absolutely treatable.


In this episode, listeners will learn:

— Why sleep deprivation in perimenopause is more serious than fatigue

— How changes in estrogen, progesterone, and cortisol affect sleep

— The four major “sleep thieves” keeping women awake: early morning awakenings, night sweats, racing thoughts, and light or fragmented sleep

— Practical strategies to improve sleep, including temperature management, sleep routines, food choices, and cortisol regulation

— The truth about supplements, magnesium, melatonin, and the role of HRT in restoring restful sleep

— How addressing sleep first can improve mood, metabolism, and long-term health

— When to consider sleep studies or thyroid checks


For anyone waking at 2 a.m., sweating through the night, or getting up unrefreshed despite doing “all the right things,” this episode provides insights into what’s happening in the body and practical tools to reclaim restorative, rejuvenating sleep.

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Learn more about the 16 week Rediscover You program here:🔗https://youbydrshaunawatts.com.au/16-week-rediscover-you-menopause-program/


Leave a Voice Note

Have a question about perimenopause, brain fog, anxiety, or midlife confidence? Leave a 45-second voice note via our website below. Your question may be featured in a future episode.🔗https://www.allaboutyoupod.com


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Follow Dr Shauna and the podcast on social:

Podcast Website: ⁠www.allaboutyoupod.com⁠.

Instagram: https://www.instagram.com/allaboutyou_withdrshaunawatts https://www.instagram.com/drshaunawattsgp

LinkedIn: https://www.linkedin.com/in/shauna-watts-a903a5247

Disclaimer: This podcast and any information, advice, opinions or statements within it do not constitute medical, health care or other professional advice. Information is provided for educational and entertainment purposes only.


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Chapters

01:22 – Sleep deprivation: a hidden health crisis

03:10 – Sleep is not a lifestyle choice

04:03 – Deep sleep & brain health

05:17 – Hormones, hunger, and metabolism

07:32 – Hormonal triggers of sleep disruption

12:25 – Four major sleep thieves in perimenopause

15:36 – Practical strategies to improve sleep

18:17 – Food, magnesium, and melatonin tips

24:34 – How HRT can restore sleep

27:02 – Sleep apnea, thyroid, and additional considerations

28:34 – CBT for insomnia and final takeaways

Keywords

Perimenopause sleep

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HRT sleep

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