Introduction

Stephanie: We are talking all about sleep with a particular focus on perimenopause and what happens to our sleep during the menstrual cycle. There's no guidebook for how to manage or mitigate some of these issues, but we do know a few things that people can be doing before kind of menopause hits with full force. Dr. Bruce is an expert and wanted to get his thinking around some of the hormonal changes,. The physiological changes, and some tricks and optimization strategies to help with that.

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Episode notes

Our guest, Dr. Michael J. Breus, is a clinical psychologist with more than two decades of experience in the sleep field.

As a sleep expert, Dr. Breus advises women going through perimenopause and menopause to establish a regular, consistent sleep schedule to manage the hormonal shifts associated with these transitions. He also recommends deep breathing, hydration, and getting sunlight.

"While there is no guidebook for managing menopausal sleep issues, these strategies can help to mitigate some of the symptoms associated with this transition," he says.

Dr. Breus stresses the importance of maintaining consistent sleep routines and creating a comfortable sleep environment. He also recommends moderate exercise, avoiding alcohol consumption, and using technology such as temperature-regulating pads.

While discipline in sleep routine is crucial, he stresses the importance of acceptance and relaxation, rather than trying to think oneself to sleep or worrying about lack of sleep.

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Episode Overview (timestamps are approximate):

4:05 - How menopause/perimenopause affects your sleep

8:21 - Can you “catch up” on sleep?

12:00 - How sleep changes around your cycle

16:31 - Instituting the daily nap

24:09 - When to nap during your cycling

27:12 - When to exercise for the best sleep

31:28 - Alcohol, dehydration and sleep

34:51 - How to use acceptance as a sleep aid

39:29 - Why you got to the bathroom during the night

46:02 - Should you breathe through your nose or mouth?

52:42 - Are you a side, back, or belly sleeper?