Effective Remedies for Perimenopause Insomnia

Navigating the Night: Effective Remedies for Perimenopause Insomnia

Perimenopause, the transitional phase leading to menopause, brings about a myriad of changes in a woman’s body, including hormonal fluctuations that can disrupt sleep patterns. Insomnia during perimenopause is a common and challenging symptom that many women face. In this blog, we will explore the causes of perimenopausal insomnia and a range of Perimenopause Insomnia Remedies to help women.

Understanding Perimenopause Insomnia

women. Understanding Perimenopause Insomnia

During perimenopause, the ovaries gradually decrease their production of estrogen and progesterone, leading to hormonal imbalances. These hormonal shifts can contribute to sleep disturbances, including difficulty falling asleep and staying asleep.

The infamous night sweats and hot flashes associated with perimenopause can disrupt sleep by causing discomfort and overheating. Managing these symptoms is crucial for restoring healthy sleep patterns.

Perimenopause often coincides with life changes, such as children leaving home or career shifts, which can induce stress and anxiety. These emotional factors can contribute to insomnia and exacerbate existing sleep challenges.

Remedies for Perimenopause Insomnia

Perimenopause insomnia can be a frustrating and disruptive aspect of the menopausal transition. While medical interventions are available, many women seek natural remedies to manage their symptoms. Here are some effective remedies for perimenopause insomnia:

Herbal Teas

Herbal teas are popular for their soothing properties and can be a comforting and natural remedy for managing symptoms associated with perimenopause, including insomnia. Incorporating certain herbal teas into your routine may help promote relaxation, alleviate stress, and contribute to better sleep. Here are some herbal teas known for their potential benefits during perimenopause:

1. Chamomile Tea:

  • Benefits: Chamomile is renowned for its calming and anti-anxiety effects. It contains apigenin, an antioxidant that may bind to certain receptors in the brain, promoting relaxation and reducing stress.
  • Usage: Drink a cup of chamomile tea in the evening, preferably about an hour before bedtime.

2. Valerian Root Tea:

  • Benefits: Valerian root has been traditionally used as a natural remedy for sleep disorders. It contains compounds that may enhance the effects of a neurotransmitter called GABA, promoting relaxation.
  • Usage: Valerian root tea can be consumed in the evening, and it’s recommended to start with a lower dose to assess its effects.

Prioritize Sleep Hygiene

Prioritize Sleep Hygiene

Prioritizing sleep hygiene is a key component in managing perimenopause-related insomnia. Sleep hygiene involves adopting healthy sleep habits and creating an optimal sleep environment to promote restful and uninterrupted sleep. Here are some essential tips to prioritize sleep hygiene during perimenopause:

1. Consistent Sleep Schedule: Go to bed and wake up at the same time every day, even on weekends. Consistency reinforces your body’s natural circadian rhythm, helping regulate the sleep-wake cycle.

2. Optimize Your Sleep Environment: Keep the bedroom cool, dark, and quiet. Consider using blackout curtains, earplugs, or a white noise machine to block out disturbances that may disrupt sleep.

Mind-Body Techniques

Mind-body techniques play a significant role as remedies for perimenopause insomnia by helping to calm the mind, reduce stress, and promote relaxation. Incorporating these techniques into your routine can contribute to improved sleep quality. Here are some effective mind-body techniques to consider:

1. Meditation:

  • Mindfulness Meditation: This involves focusing your attention on the present moment, and observing thoughts without judgment. Guided mindfulness meditation sessions, available through apps or online, can be particularly helpful for beginners.
  • Transcendental Meditation (TM): TM involves silently repeating a mantra for 15-20 minutes, twice a day. Research suggests that TM can reduce stress and improve overall well-being, potentially benefiting sleep.

2. Deep Breathing Exercises:

  • Diaphragmatic Breathing (or Belly Breathing): Inhale deeply through your nose, expanding your diaphragm, and exhale slowly through your mouth. This technique can activate the body’s relaxation response, reducing stress and anxiety.
  • 4-7-8 Breathing: Inhale for a count of 4, hold your breath for a count of 7, and exhale for a count of 8. This technique helps regulate breathing and induces a state of relaxation.

3. Progressive Muscle Relaxation (PMR):

  • PMR involves systematically tensing and relaxing different muscle groups to release physical tension. Start with your toes and work your way up to your head. This practice can ease muscle tension and promote a sense of calm.

Herbal Supplements

Herbal Supplements

Here are some herbal supplements that are commonly used to address perimenopause insomnia:

1. Valerian Root:

  • How it works: Valerian root has been used for centuries as a natural remedy for various sleep disorders. It is believed to enhance the effect of a neurotransmitter called GABA, which helps regulate nerve impulses in the brain and calm anxiety.
  • Usage: Available in capsule or tea form. Take about 300-600 mg 30 minutes to two hours before bedtime.

2. Chamomile:

  • How it works: Chamomile is known for its calming and sedative properties. It contains antioxidants, including apigenin, which may contribute to its sleep-inducing effects.
  • Usage: Enjoy chamomile tea before bedtime or take chamomile supplements in capsule form.

3. Passionflower:

  • How it works: Passionflower has mild sedative properties and may help in reducing anxiety and promoting relaxation.
  • Usage: Typically available as a supplement or in tea form. Follow the recommended dosage on the product label.

Hormone Therapy

Hormone therapy (HT), also known as hormone replacement therapy (HRT), is a medical intervention that involves supplementing or replacing hormones in the body. In the context of perimenopause and menopause, hormone therapy is often used to alleviate symptoms associated with hormonal fluctuations, including insomnia. However, it’s essential to approach hormone therapy with caution, as it may have both benefits and risks.

Cognitive Behavioral Therapy for Insomnia

Cognitive Behavioral Therapy for Insomnia (CBT-I) is a structured and evidence-based therapeutic approach designed to address and improve sleep-related issues, including insomnia. Unlike medications, CBT-I focuses on changing thoughts, behaviors, and habits that contribute to sleep difficulties. It is considered the first-line treatment for chronic insomnia and has shown long-term effectiveness. Here’s an overview of the key components of CBT-I as remedies for perimenopause insomnia:

1. Cognitive Therapy:

  • Identifying and Changing Negative Thoughts: CBT-I aims to identify and change negative thoughts and beliefs about sleep. This may involve challenging unrealistic expectations or fears about sleep and promoting more positive and realistic attitudes.
  • Stress Reduction Techniques: Teaching individuals stress management and relaxation techniques to alleviate anxiety related to sleep. This can include progressive muscle relaxation, deep breathing exercises, or guided imagery.

2. Behavioral Therapy:

  • Sleep Restriction Therapy: This involves limiting the amount of time spent in bed to the actual amount of time spent asleep. As sleep efficiency improves, the time in bed is gradually extended.
  • Stimulus Control: Restructuring the sleep environment and associating the bed with sleep. This includes recommendations like using the bed only for sleep and intimacy, avoiding stimulating activities in bed, and getting up if unable to sleep.
  • Sleep Hygiene Education: Providing education on healthy sleep habits and routines. This may include advice on maintaining a regular sleep schedule, creating a conducive sleep environment, and limiting exposure to screens before bedtime.

Regular Exercise

Regular exercise is a powerful and multifaceted strategy for promoting overall health and well-being, and it can have positive effects on sleep, including during perimenopause. Engaging in physical activity can help regulate hormones, manage stress, and contribute to better sleep quality. Here’s how regular exercise can be beneficial and some tips on incorporating it into your routine during perimenopause:

1. Hormonal Regulation:

  • Endorphin Release: Exercise stimulates the release of endorphins, which are natural mood enhancers. This can be particularly helpful in managing mood swings and irritability associated with perimenopause.
  • Hormone Balance: Regular exercise can contribute to hormonal balance, including the regulation of estrogen and progesterone, which may help alleviate perimenopausal symptoms.

2. Stress Reduction:

  • Cortisol Regulation: Physical activity helps regulate cortisol levels, the stress hormone. By managing stress through exercise, you may experience reduced anxiety and an improved ability to relax, contributing to better sleep.
  • Promotion of Relaxation: Activities like yoga and tai chi, which combine movement with mindfulness and deep breathing, can be especially effective in promoting relaxation and reducing stress.

Dietary Adjustments

Dietary Adjustments

Diet plays a crucial role in overall health, and making specific dietary adjustments can be beneficial for managing symptoms associated with perimenopause, including insomnia. Certain foods and nutritional strategies can support hormonal balance, manage hot flashes, and contribute to better sleep. Here are some dietary adjustments to consider during perimenopause:

1. Balanced Diet:

  • Include a Variety of Foods: Consume a balanced diet that includes a variety of nutrient-dense foods such as fruits, vegetables, whole grains, lean proteins, and healthy fats.
  • Adequate Protein Intake: Ensure you’re getting enough protein, which is essential for muscle health and can help with weight management.

2. Foods Rich in Phytoestrogens:

  • Soy Products: Soy contains phytoestrogens, which are plant compounds that mimic the effects of estrogen. Including soy-based foods like tofu and soy milk in your diet may help alleviate some symptoms of hormonal fluctuations.
  • Flaxseeds: Flaxseeds are another source of phytoestrogens and can be added to smoothies, yogurt, or cereals.

3. Omega-3 Fatty Acids:

  • Fatty Fish: Include fatty fish like salmon, mackerel, and sardines in your diet. They are rich in omega-3 fatty acids, which have anti-inflammatory properties and may positively influence mood and sleep.
  • Flaxseed and Chia Seeds: These seeds are also good sources of omega-3 fatty acids and can be incorporated into your meals or snacks.


Perimenopause insomnia can be a challenging aspect of the transition to menopause, but with a holistic approach, women can find relief and improve their sleep quality. By addressing hormonal imbalances, adopting healthy lifestyle practices, and considering various natural remedies, women can navigate perimenopause with greater ease and enjoy restorative nights of sleep.

Remember, it’s essential to consult with a healthcare professional before starting any new treatment or making significant lifestyle changes to ensure they are appropriate for your individual health needs.

If you are facing menopause related issues, menopause treatment at HerMantra can help. Book your free trial online menopause treatment session now.