1.5x higher
Women are about 1.5 times more likely than men to experience insomnia. 2
Sleep_&_insomnia
Full night's sleep? Your hormones say keep dreaming.
Nearly 1 in 5 women nationwide regularly struggle to fall asleep, with more than 1 in 5 struggling to stay asleep.¹ Meet with a Midi clinician to get to the bottom of what's keeping you up at night.
Why is this happening?
Estrogen supports the brain chemicals tied to sleep and mood, while progesterone works with GABA to calm the brain
As these hormones shift, falling and staying asleep can get harder.³
Your hormones can impact how your brain responds to stress at night
Anxiety, low mood, and racing thoughts can keep you wired long after you're ready for bed.
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1.5x higher
Women are about 1.5 times more likely than men to experience insomnia. 2
Sleep is a whole-body production. When any of these are out of sync, so are your nights.
Estrogen supports the brain chemicals tied to sleep and mood, while progesterone works with GABA to calm the brain
As these hormones shift, falling and staying asleep can get harder.³
Your hormones can impact how your brain responds to stress at night
Anxiety, low mood, and racing thoughts can keep you wired long after you're ready for bed.
Better sleep can look like...
1/5
Sleep tight.
All night.
Sleep hygiene matters, but a bad bedtime routine is rarely to blame. Midi clinicians look at your hormones, physical symptoms, emotional health, medications, and sleep conditions to find out what's keeping you awake. Because your sleep patterns are your own, your Care Plan will be, too.
How we build your Care Plan
Midi clinicians support you from every angle. They start by listening — then draw on the options below to build the right plan for you.
Labs & testing
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Labs & testing
Your clinician may recommend lab testing or further evaluation for conditions such as sleep apnea, thyroid dysfunction, anemia, or restless legs.
Lifestyle coaching & support
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Lifestyle coaching & support
Practical guidance on sleep hygiene, exercise, stress, caffeine and alcohol, and your sleep environment. Your Care Plan may also include mindfulness or a referral for cognitive behavioral therapy for insomnia.
Hormone prescriptions
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Hormone prescriptions
Hormone replacement therapy may improve sleep when hormone changes, hot flashes, or night sweats are contributing.⁴ Available as patches, pills, creams, sprays, and gels.
More to explore:
What is HRT?
Non-hormone prescriptions
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Non-hormone prescriptions
Options may include Doxepin (Silenor or generic) or Ramelteon (Rozerem) for certain sleep concerns. Traditional sleeping pills are generally considered a last resort.
Supplement integration
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Supplement integration
Depending on your symptoms, health history, and current medications, your Midi clinician may discuss options such as Daily Cortisol Support, glycine, or other botanicals.
More to explore:
Shop Midi productsReal Midi Patients. Real relief*.
Midi helped me sleep again and gave me back something bigger than symptom relief: my quality of life.
I’m finally getting consistent, restful nights, which has been life-changing.
After about a month, I had more energy and less anxiety. Later, my hot flashes were gone and I finally slept all night.
Something was off and I wasn’t getting answers. Now with Midi, I sleep better, have more energy, and feel strong again.
After about 1 week, I felt more like myself again. Even my coworkers noticed how much happier I seemed.
No more crazy anxiety attacks, no more sleepless nights, no more dry, itchy skin.
Finally, my Midi clinician listened and I got relief. My family got their mom back — my students got a better teacher.
I don’t think I fully understood how much broken sleep was affecting everything until it started to improve.
One of my favorite things is convenience. Virtual visits fit my busy schedule right from home.
I had epic rage, sleepless nights, terrible skin, and half my hair fell out. With HRT, I felt relief by my next cycle.
I white-knuckled it for 8 years. With Midi, I’ve lost 70 pounds, sleep like a baby, and look in the mirror — she’s back.
My 3-day migraines left me exhausted. With Midi's HRT plan, I have no headaches, I sleep well, and I feel like myself.
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Covered by most major insurance**
Available in all 50 states • Self-pay visits available
Products made for sleep support
Clinically informed. Research-backed.
More on Midi Mag
Menopause insomnia: causes, symptoms, and treatments
Sept 2, 2025
Why hormone shifts, night sweats, anxiety, and other factors can interrupt sleep — and what may help.
Is it bad to take melatonin every night?
Feb 13, 2026
What to know when melatonin stops helping, causes morning grogginess, or becomes a nightly habit.
Menopause sleep problems: natural remedies that work
Feb 20, 2026
A closer look at sleep habits, mind-body strategies, supplements, and other non-prescription approaches.
Sources & citations
1. National Center for Health Statistics. Short Sleep Duration and Sleep Difficulties Among Adults: United States, 2024. https://www.cdc.gov/nchs/products/databriefs/db559.htm
2. Zeng LN, et al. Gender Difference in the Prevalence of Insomnia: A Meta-Analysis of Observational Studies. Frontiers in Psychiatry. 2020. https://pmc.ncbi.nlm.nih.gov/articles/PMC7714764/
3. Brown AMC, Gervais NJ. Role of Ovarian Hormones in the Modulation of Sleep in Females Across the Adult Lifespan. Endocrinology. 2020.
4. Cintron D, Lahr BD, Bailey KR, et al. "Effects of oral versus transdermal menopausal hormone treatments on self-reported sleep domains and their association with vasomotor symptoms in recently menopausal women enrolled in the Kronos Early Estrogen Prevention Study (KEEPS)." Menopause. 2018 Feb;25(2):145-153. doi: 10.1097/GME.0000000000000971 https://pubmed.ncbi.nlm.nih.gov/28832429/
*These real patients became Midi Ambassadors and may receive free products and/or swag. Individual results may vary.
**Midi is in-network with most major insurance providers nationwide, but coverage depends on your specific plan — deductibles, coinsurance, and copays vary and may still apply. Check your plan for details specific to you. Self-pay options are also available.
Make waking up a morning thing again
Midi accepts most major health plans. Book a virtual visit so you can finally get some rest.