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
Anxiety, low mood, and racing thoughts can keep you wired long after you're ready for bed.
1/4
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
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.
1Labs & testing
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1Labs & testing
Your clinician may recommend lab testing or further evaluation for conditions such as sleep apnea, thyroid dysfunction, anemia, or restless legs.
2Lifestyle coaching & support
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2Lifestyle 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.
3Hormone prescriptions
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3Hormone 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?
4Non-hormone prescriptions
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4Non-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.
5Supplement integration
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5Supplement 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*.
My sleep has gotten better, my hot flashes have decreased, and my overall energy has improved.
Within just a few days, my sleep improved dramatically.
I don’t think I fully understood how much broken sleep was affecting everything until it started to improve.
Better sleep led to less brain fog, more energy, and a happier version of myself.
1/3
Products made for sleep support
Clinically informed. Research-backed.
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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.
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