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The 3AM conundrum: Understanding sleep physiology in menopause

The 3AM conundrum: Understanding sleep physiology in menopause

Online until December 31st 2025


This eLearning module dives into the challenging issue of sleep disturbances among perimenopausal and menopausal people, a phenomenon often peaking at around 2-3 AM due to intricate hormonal interplays. Specifically, it explores the critical relationship between fluctuating cortisol levels, lowered estrogen, a stressed liver, and sleep quality during menopause. We will outline the basic mechanisms of sleep and the impact of menopause on these processes, emphasizing the role of cortisol. This stress hormone follows a diurnal pattern but may exhibit irregularities during menopause. We will further examine recent research findings that link perimenopause and menopause to decreased sleep quality and increased nighttime awakenings. The presentation also addresses the physiological repercussions of these sleep disruptions, including their impact on mental health, cognitive function, and overall quality of life.  

Furthermore, practical strategies for managing these challenges will be explored. These include both pharmacological and non-pharmacological interventions such as cognitive behavioural therapy for insomnia (CBT-I), mindfulness meditation, and lifestyle adjustments that can help mitigate the impact of cortisol fluctuations on sleep. The session aims to provide attendees with a comprehensive understanding of the causes behind sleep disturbances during menopause and equip them with the knowledge to manage these effectively. It targets healthcare professionals, researchers in women's health, and menopausal women seeking to understand and improve their sleep patterns. This session will highlight the complexities of menopausal sleep disruptions just when the menopausal body needs sleep the most!