*Please note the prescribing of medication is at the discretion of your Practitioner.
At My Clinic, a sleep consultation starts with a proper look at what’s actually happening: when you wake, how often, what it feels like, what you’ve already tried, and what else is going on in your life and your body.
Hormonal sleep disruption can take one of three shapes: trouble falling asleep with a racing mind, fragmented sleep through the night, or waking at 3am or 4am wide awake. Many women experience more than one. Each can have different drivers, and each may respond to different approaches.
From there, we look at what’s worth investigating and what’s worth trying. That might mean treating night sweats, addressing the hormonal context, looking at thyroid or other underlying factors, or a combination.
What we won’t do is hand you a sleep hygiene leaflet and send you on your way.
Seek support if insomnia has been affecting your life for more than a few weeks; if you are consistently getting fewer than six hours or waking multiple times through the night; if sleep disruption is compounding other symptoms of the menopause transition such as brain fog, anxiety, or low mood; if night sweats are a significant cause of waking; if early morning waking at consistent times is a prominent feature; or if standard sleep hygiene approaches have produced little improvement. Other causes including thyroid dysfunction and sleep apnoea are also worth considering — a health professional can help work through what is most relevant.
Treatment options vary between individuals and are determined by your Nurse Practitioner based on your symptoms, health history, and personal circumstances. Prescribing of medication is always at the discretion of your Practitioner.
Poor sleep during perimenopause is not something you simply have to push through. Understanding what is driving your insomnia — whether it is progesterone decline, night sweats, early cortisol surges, or a combination — makes a real difference to finding an approach that actually helps.
Our Nurse Practitioners are experienced in the hormonal side of sleep disruption and can talk through your symptoms, rule out other contributing causes, and work with you on a plan tailored to where you are in your transition.
If you are unsure whether what you are experiencing fits, that is completely fine. Book a consultation and let one of our clinicians help you make sense of it.
Not sure if you symptons match the condition. Not a problem, one of our clinicians can discuss them with you and help narrow down possible causes and effective treatments. Just book a general health appointment.
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Daniela, 46
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