white and blue throw pillow on white bed

Sleep and Stress Relief in Perimenopause

How to find balance

M. Dunleavy

2/26/20252 min read

woman covered with white blanket
woman covered with white blanket

Perimenopause, the transitional phase before menopause, often brings a variety of changes to a woman’s body. One of the most frustrating challenges can be disrupted sleep and heightened stress levels. If you find yourself tossing and turning at night or feeling overwhelmed during the day, you’re not alone. Fortunately, there are effective ways to improve sleep and manage stress during this phase of life.

Why Does Perimenopause Affect Sleep and Stress?

Hormonal fluctuations, particularly in estrogen and progesterone, play a significant role in perimenopausal sleep disturbances and stress. These hormonal shifts can lead to:

  • Night sweats and hot flashes that disrupt sleep

  • Increased anxiety and irritability

  • More frequent awakenings throughout the night

  • Difficulty falling or staying asleep

  • Fatigue and brain fog during the day

Recognizing these changes as a natural part of the process can help you develop strategies to minimize their impact.

Strategies for Better Sleep

1. Create a Relaxing Bedtime Routine

Establishing a calming pre-sleep ritual can signal your body that it’s time to wind down. Consider:

  • Taking a warm bath with Epsom salts

  • Practicing deep breathing or meditation

  • Reading a book (preferably one that isn’t too stimulating)

2. Optimize Your Sleep Environment

Small changes can make a big difference:

  • Keep the room cool and dark

  • Use moisture-wicking sheets and pajamas to manage night sweats

  • Reduce screen time before bed to lower blue light exposure

3. Try Natural Sleep Aids

Many women find relief from:

  • Magnesium – Helps relax muscles and promote sleep

  • Melatonin – Supports a natural sleep-wake cycle

  • Herbal teas – Chamomile or valerian root can be calming

Strategies for Reducing Stress

1. Practice Mindfulness and Meditation

Daily mindfulness exercises can help lower stress levels and improve emotional resilience. Apps like Calm and Headspace offer guided meditations specifically designed for stress relief.

2. Engage in Regular Movement

Exercise is a powerful tool for reducing stress and improving sleep. Consider activities such as:

  • Yoga

  • Walking in nature

  • Strength training

3. Support Hormonal Balance Through Diet

Eating a balanced diet rich in whole foods, lean proteins, and healthy fats can help stabilize blood sugar and support hormone regulation. Key nutrients to include:

  • Omega-3 fatty acids (found in fish and flaxseeds)

  • B vitamins (from leafy greens and whole grains)

  • Adaptogenic herbs like ashwagandha to help the body handle stress

4. Set Boundaries and Prioritize Self-Care

Taking time for yourself isn’t selfish—it’s essential. Whether it’s setting boundaries at work, saying no to commitments that drain you, or scheduling regular relaxation time, self-care should be a priority.

Final Thoughts

Perimenopause doesn’t have to mean constant exhaustion and stress. By making simple yet effective lifestyle changes, you can improve your sleep quality and better manage stress. Experiment with these strategies and find what works best for you.

What techniques have helped you through perimenopause? Contact us for help.