If You Experience ‘The Witching Hour,’ Blame Perimenopause

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I used to be a champion sleeper until I entered my 40s. In college, my roommate would often have to nudge me awake during midnight fire drills because I was such a sound sleeper that even the loud alarms couldn’t stir me. My need for sleep has always been significant; my baby book even notes that I slept for eight solid hours the very first night home from the hospital.

Throughout high school, I never had the urge to stay up late like my three teenagers do now. I would often find myself dozing off on the couch by eight in the evening, heading to bed as soon as I woke up. Even after welcoming my children into the world, I had no trouble drifting off, fully aware that one of them might wake me up at any moment for a feed or because of a nightmare.

However, entering my early forties changed everything. No longer could I fall asleep quickly and deeply. Despite feeling exhausted throughout the day, my mind began racing at night, preventing me from slipping into a restful sleep. I’ve tried various remedies—melatonin (which led to nightmares), sleeping pills, calming apps, and most recently a combination of magnesium supplements and lavender essential oil, which seems to be the most effective so far.

Over the past year, I’ve been dealing with a new sleeping issue: the witching hour. This refers to waking up in the middle of the night and finding it impossible to return to sleep or waking up multiple times. Initially, I thought it was just due to late-night bathroom trips and checking my phone for the time, something I used to do without a hitch. In an effort to combat this, I started leaving my phone downstairs, but it didn’t help—my sleep disruptions continued.

I even tried cutting off fluid intake after 6:30 p.m., hoping to avoid those midnight bathroom breaks, but that didn’t work either. If you’re experiencing similar struggles, you know just how exhausting it can be. I feel drained during the day, irritable, and just off-kilter.

I consulted Dr. Alex Morgan, a leading expert in Menopause and Women’s Health, who explained that one common reason for nighttime awakenings is night sweats stemming from hormonal fluctuations. He added that this period, typically between the ages of 40 and 50, can also significantly impact mental health. “There is a notable rise in anxiety and depression during perimenopause, which can further disrupt sleep,” Dr. Morgan shared.

Many friends in my age group have echoed this sentiment, feeling that the combination of hormonal changes and the stresses of life transitions—like raising teenagers and contemplating the next phase of life—contributes to sleepless nights. I can say with certainty that every woman I know in her forties seems to face some sleep challenges.

What Can We Do?

So what can we do? I’m eager for solutions since sleep is vital for our overall health. Dr. Morgan mentioned ongoing studies on non-hormonal treatments for hot flashes and the benefits of cognitive behavioral therapy for sleep issues. He stressed that treatment should be tailored to individual symptoms and medical history.

I also spoke with Dr. Lisa Green, a renowned specialist in women’s health, who provided several excellent tips. Firstly, ensure your bedroom is cool and comfortable. “A well-ventilated room, moisture-wicking sleepwear, a comfortable mattress, and avoiding screens before bedtime can make a significant difference,” she advised. Moderating fluid intake before sleeping can also help.

Last summer, I invested in bamboo sheets, which have improved my comfort significantly. Lowering the heat in my bedroom during winter has also helped, even if my partner wasn’t thrilled about it—bundling up with extra blankets is a simple fix.

Dr. Green also recommends following a diet low on the glycemic index, such as the Mediterranean diet. “Reducing carbohydrates, processed foods, and sugar can help stabilize glucose and insulin levels, potentially minimizing hot flashes,” she noted. Personally, while I don’t adhere to a strict diet, I try to limit processed sugars and flours, as indulging in sweets often leads to poor sleep.

If you find yourself tossing and turning at night, know that you’re not alone. I hope that some of these suggestions will help you achieve more restful nights. If sleep troubles persist, don’t hesitate to reach out to your gynecologist to explore your options.

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In summary, perimenopause can lead to sleep disturbances often referred to as the ‘witching hour.’ Hormonal changes contribute to issues like night sweats and anxiety, which can significantly affect sleep. Experts suggest various remedies, including creating a comfortable sleep environment, considering dietary changes, and consulting healthcare professionals for tailored treatments.