Why sleep is more difficult for women

Dr. Richard Herbold of Clifton Park, New York’s Capital District Vitality Center: Women in their 40s and up face unique challenges when it comes to sleep

Is there a torture worse than hitting the sack exhausted from a long day only to toss and turn for hours, unable to fall asleep? Or perhaps you fall asleep but later bolt awake and can’t fall back asleep?

By the time women hit their mid 30s or early 40s, many struggle with sleep. Either it’s difficult to fall asleep, difficult to stay asleep, or both. Although sleep difficulties can have many causes, fluctuations of female hormone prior to and during the transition to menopause can steal many hours of precious sleep.

Female hormone imbalances and sleep problems

When a woman enters perimenopause, her production of estrogen and progesterone begins to decline. Ideally the adrenal glands, which produce stress hormones, take over production of these hormones to ensure a smooth transition into menopause. Unfortunately, most women today enter perimenopause (pre-menopause) in a state of chronic stress and their adrenals glands are either producing too much or too little of stress hormones. To take on the added job of producing sex hormones is simply more than they can handle. That’s when sleep issues can kick in, as balanced levels of estrogen and progesterone are necessary for healthy sleep. Other symptoms may include hot flashes, night sweats, depression, anxiety, fatigue, and more.

Women may also experience sleep issues during certain times of the menstrual cycle when hormone levels fluctuate.

As a clinical nutritionist and chiropractic neurologist, I support patients from Guilderland, Loudonville, Delmar, Colonie, and other areas of the Capital District in my Clifton Park, NY office for various chronic health issues. Many female patients complain of sleep problems, which are often related to hormonal imbalances. Making adjustments to diet and lifestyle, especially balancing blood sugar, can help manage hormones and improve sleep.

Low progesterone and problems sleeping

Low progesterone seems to have become increasingly common among women and can play a large role in sleep problems. Progesterone is referred to as the “calming hormone” whereas estrogen is more excitatory, and low progesterone is associated with sleeping difficulties.

Chronic stress can impact progesterone levels. Every time you experience stress your adrenal glands release cortisol, a stress hormone. When demand for cortisol is constantly high the body borrows pregnenolone, which is needed to make progesterone and other hormones, to make cortisol instead. This is called “pregnenolone steal” because the body steals pregnenolone from the hormone cascade in order to keep pace with the demands of stress.

Stopping pregnenolone steal may help improve hormone function and improve sleep. Strategies for stopping pregnenolone steal include an anti-inflammatory diet, which eases the body’s burden of stress. You may also need to work on restoring gut health, taming chronic inflammation, or managing an autoimmune disease appropriately, approaches that benefit from the guidance of an experienced practitioner.

Estrogen and sleep problems

When estrogen is too high and progesterone too low, it can cause sleep problems for the obvious reason—there is too much of the excitatory estrogen compared to the calming progesterone and the brain can’t calm down enough to rest. A proper ratio between the two is important.

However, low estrogen can also contribute to sleep problems. Estrogen is intimately connected with serotonin, a brain chemical associated with a feeling of well-being and that is converted to melatonin, a sleep hormone. Low estrogen may lead to low serotonin activity and contribute not only to sleep problems but also depression and anxiety. The female brain is highly dependent on sufficient estrogen for normal function in general, and low estrogen can also cause symptoms that include brain fog and memory loss.

For patients in Guilderland, Loudonville, Delmar, Colonie, and other Capital District areas: Strategies to support hormone balance

Tending to adrenal function and other health issues may help correct hormonal imbalances. This includes not only reducing lifestyle stress, but also eliminating dietary stressors. Eating a diet lower in carbohydrates to prevent blood sugar swings, avoiding foods that cause an immune reaction, not drinking too much alcohol, tending to bacterial gut infections and other aspects of digestive health, and supporting immune balance are all whole-body approaches that can foster proper hormone function and improve sleep.

In my Clifton Park, NY office, I offer patients from Guilderland, Loudonville, Delmar, Colonie, and other areas of the Capital District support for their health and such neurological disorders as depression, anxiety, ADD/ADHD, autism spectrum disorders, and other brain-based issues. For more information on how to help balance your hormones and improve sleep, contact my office.

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Patient Reviews

  • Richard Herbold is topnotch, and has helped me over several decades! A gifted healer might be a rarity. I have always felt privileged to receive his adjustments to target whatever is blocked or out of place. Immediate relief is always noted....
  • Long story short, after a year and a half of countless doctor visits to try to figure out what was wrong with me (couldn’t move my joints, extreme pain and swelling, ect….) I was told I had RA and would be on methotrexate for the rest of my life. I went to Dr. Herbold to get his opinion. Wit...
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  • I have known Dr. Herbold for 11 years now. He is a wonderful doctor, a trusted confidant, and a wonderful human being. He has helped me and my family many many times with health related needs. Dr. Herbold is very compassionate — a great teacher and mentor. We are so fortunate to have someone of hi...

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