Sleep through the night again.
Yes — treating the hormonal cause of menopause sleep disruption restores sleep for most women, often better than a sleep aid. Poor sleep is usually downstream of night sweats and the loss of progesterone's calming effect. Rather than masking it with sedatives, we treat the hormonal root — which is why so many women find their sleep returns once therapy begins.
Medically reviewed by Sean Arora, MD. Educational, not a substitute for medical advice.
Options for this symptom
Transparent pricing — the cost is the medication, with free shipping and clinician messaging included.
Progesterone capsules
Oral capsule, at bedtime · Prescription
$59/mo
monthly or quarterly billing
Micronized progesterone for sleep and uterine protection.
Estradiol patches
Transdermal patch, applied twice weekly · Prescription
$159/mo
monthly or quarterly billing
Estradiol patch, applied twice weekly.
No membership fee. The price is the medication — free shipping and clinician messaging included. See full pricing
What this looks like
- Waking from night sweats
- Difficulty falling or staying asleep
- Early-morning waking
- Unrefreshing sleep and daytime fatigue
Evidence-led, clinician-reviewed care
We start with the treatments the guidelines support and tailor them to you.
Micronized progesterone at night
Taken at bedtime, body-identical progesterone has a mild calming effect that supports deeper sleep.
Estradiol to stop night sweats
Treating vasomotor symptoms removes one of the biggest causes of nighttime waking.
What the guidelines say.
Our recommendations follow The Menopause Society and ACOG. Every therapy carries benefits and risks, and a licensed clinician reviews whether it is appropriate for you.
The Menopause Society, 2023
Sleep disturbance is common during the menopause transition and is frequently linked to nighttime vasomotor symptoms; treating hot flashes and night sweats with hormone therapy can improve sleep quality.
The Menopause Society, 2022 Hormone Therapy Position Statement
Micronized progesterone, taken at bedtime, has a mild sedative effect that can support sleep in addition to protecting the uterine lining.
Questions, answered
No. We treat the hormonal cause of menopause-related sleep disruption (night sweats and falling progesterone) rather than sedating you with a hypnotic. Estradiol reduces the night sweats that wake you, and bedtime progesterone has a natural calming effect that supports falling and staying asleep.
Feel like yourself again.
Take the 3-minute assessment, then meet your clinician by video or phone. No obligation.