Officially, perimenopause marks the transition into menopause. Unofficially? It ushers in a chapter that is physically and emotionally challenging for many women. During these years, hormones begin to fluctuate irregularly and impact almost every bodily function—especially sleep . Various resources estimate that somewhere between 39% and 72% of women experience perimenopause-related sleep disturbances, which can include sudden night-time awakenings, hot flushes, or anxiety. There’s got to be a better way.

Certified menopause specialist Dr. Christina Enzmann says there is. Below, she explains what happens to the body during perimenopause—and how we can find restful sleep even in its midst.

How the perimenopause affects sleep

During perimenopause, hormone production in the ovaries beg

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