Why do I wake up at 3am?

Waking up at 3am during menopause is a common symptom due to hormonal changes that affect sleep patterns.

During menopause, the levels of estrogen and progesterone decrease, which can cause hot flashes, night sweats, and insomnia. These symptoms can disrupt sleep and cause women to wake up in the middle of the night. Insomnia is a common symptom of menopause, affecting up to 60% of women.

The hormonal changes associated with menopause, specifically the decrease in oestrogen production, can disrupt a woman's sleep patterns. Oestrogen plays a role in regulating the sleep-wake cycle, so the decline in oestrogen levels can lead to difficulty falling asleep, staying asleep, and waking up too early.Many women experience waking up at 3am, which is often attributed to a drop in blood sugar levels. As the body prepares for sleep, it naturally lowers blood sugar levels, but in menopausal women, this drop can be too significant, leading to a feeling of hunger or even a "panic attack" feeling that can cause them to wake up.

Additionally, menopause can cause hot flashes and night sweats, which can also disrupt sleep and contribute to insomnia.

There are several treatments available to address menopausal insomnia, including hormone replacement therapy (HRT), which can help regulate hormone levels and improve sleep quality. Other non-hormonal treatments include cognitive-behavioral therapy (CBT), relaxation techniques, and sleep hygiene practices.

Insomnia can have a significant impact on a woman's sense of wellness. Lack of sleep can lead to fatigue, irritability, difficulty concentrating, and decreased productivity. It can also increase the risk of depression, anxiety, and other health problems. Therefore, it is essential to address menopausal insomnia and seek treatment to improve overall well-being.

It is recommended to talk to a healthcare provider for personalised advice and treatment options.