Improving sleep during the menopause

Beating hot flushes and night sweats – improving sleep throughout the menopauseFor many of us going through the menopause, waking up and feeling as though we’re sleeping in a furnace is an intensely uncomfortable, but not unusual experience. These hot flushes, along with feelings of restlessness and anxiety, often lead to sleepless nights spent tossing and turning. Night sweats are triggered by our falling oestrogen levels, which can have a profound effect on a part of the brain called the hypothalamus, which regulates body temperature. If the hypothalamus incorrectly perceives the body to be overheating, it instructs the body to release excess heat by dilating blood vessels and sweating profusely. This is a direct result of low oestrogen levels.

The link between menopause and insomnia is a too-common discussion topic on our Wellbeing Menopause Community page and a problem that many of our members faced was not falling asleep, but staying asleep, as night sweats and restlessness can act as an unwelcome and persistent alarm clock in the middle of the night. From natural sleep aids, to night-time mindfulness, we’ve collected some effective ways to fall asleep and stay asleep, despite the fiery flushes.

Supplements for sleep


Magnesium is renowned for its powerful relaxing properties. By activating the parasympathetic nervous system, magnesium calms the body down and can contribute to a relaxing night’s sleep. In numerous cases it has been reported to alleviate the symptoms of hot flushes, and considerably decrease their regularity. Magnesium’s effect on the parasympathetic nervous system can also help ease anxiety symptoms, which can also make a long, restful sleep more difficult. Many swear by magnesium supplements to improve sleep quality – and supplements are effective, cheap and easy to find.

pumpkin and sage risottoSage

Some have found that specific herbal supplements can help to alleviate hot flushes. Small-scale studies suggest sage supplements can have an antiperspirant effect, considerably reducing night sweats. In one study, women taking fresh sage leaves (in the form of tea) daily for eight weeks found that over time the frequency and severity of their hot flushes decreased. All instances of very severe hot flushes in this study were eliminated. Worth a try.


Melatonin is a hormone produced by the brain in accordance with its circadian rhythm. As darkness falls, melatonin production is increased to initiate sleep. Research has shown that in early menopausal transition, difficulty sleeping can be helped by taking low doses of melatonin, supplement. Melatonin is now classed as a medicine in the UK, so needs to a doctor’s prescription to use it (it can be bought from health food shops in the States though). One of the most effective ways of encouraging the brain to produce more melatonin of its own is by sleeping in a completely dark room. Avoid screen time or use of LED lights before bed and use blackout curtains and/or and eyeshade to encourage melatonin production.

Avoid hot flush triggers


Beating hot flushes and night sweats – improving sleep throughout the menopause

Caffeine, alcohol, hot drinks and spicy food can all trigger hot flushes by raising body temperature. Avoiding these triggers, particularly before bed, may help regulate your body temperature and reduce the risk of night sweats. Keeping your room well ventilated with the window cracked open should also help to keep you cooler. If you wake up drenched in sweat, a lighter duvet or blanket paired with ‘wicking’ sheets is a good option. Wicking fabrics absorb sweat, but dry quickly so you will wake up drier without a damp duvet or mattress. We also love these cleverly-made cooling sleepwear from Cucumber Clothing.

Food coma

As mentioned, magnesium and melatonin can have a profound effect on improving length and severity of hot flushes and ensuring we stay sound asleep through the night. Magnesium is not difficult to incorporate into our diet as it’s found in many types of food. It is worth swapping white sliced for whole wheat bread, as two slices can provide 10% of your daily intake of magnesium. Topping this with a large portion of wilted spinach with give you an even greater magnesium kick.

Foods containing tryptophan can help the body produce serotonin, which in turn is needed to make melatonin – the sleep-inducing hormone that kicks in when it gets dark. Find a list of Liz’s favourite foods to help the menopause here.

Pillow spray

The calming scent of lavender is well known for its sleep-inducing properties and a pillow spray can be the perfect way to benefit if your menopause symptoms leave you with insomnia, feeling restless and struggling to drop off. We love the This Works deep sleep pillow spray, which contains soothing lavender, vetivert and camomile, which can also alleviate sleep related anxiety. If, like so many in our Wellbeing Menopause Community, you have no problem falling asleep, but struggle to stay asleep during the night, the This Works Sleep Plus pillow spray may be a better option. The spray incorporates motion activated technology so that the calming fragrance is released continuously throughout the night to reduce sleep disruption and restore a healthy sleeping pattern. In one study, 96% of 200 participants with sleep problems felt that they had a less disturbed sleep when using the pillow spray.


The Good Menopause Guide by Liz Earle

Order your copy of The Good Menopause Guide for more great tips on how to feel at your best during the perimenopause, menopause and beyond.

Looking for some support or advice during your meno or perimenopausal years? Request to join the Wellbeing Menopause Community here.The Wellbeing Menopause Community