You used to be a good sleeper. Maybe not perfect, but reliably functional — you could fall asleep without effort, stay asleep, and wake feeling like yourself. Then perimenopause arrived, and sleep became something you no longer recognize.

You fall asleep — sometimes without much trouble — and then wake in the early morning hours. Your heart is racing. Your body feels alert. Your mind is suddenly busy. Getting back to sleep feels impossible, even though you’re exhausted.