The Sleep Syndrome of Menopause with Dr. Andrea Matsumura
Why do you fall asleep fine, then wake up at 3 AM with a racing heart and a brain that won’t switch off? If you’re in your 40s or 50s, you are not imagining it, and it is not “just aging.” Sleep disruption affects up to 60% of women in the menopause transition. For many, it doesn’t go away after menopause. Dr. Alison Kole sits down with sleep physician and menopause expert Dr. Andrea Matsumura, creator of the D.R.E.A.M. Sleep Method™. They cover what is actually happening to midlife women’s sleep and what works. In this episode: Why falling progesterone and swinging estrogen wake you up right as cortisol starts rising The D.R.E.A.M. Sleep Method: Daily habits, Resting environment, Emotions, Archetype (your circadian rhythm), and Medical conditions Why a nightly glass of wine “steals” your REM sleep, and why needing it to fall asleep is a red flag Why women with sleep apnea often don’t snore. They “purr,” and they show up with insomnia, fatigue, headaches, or low mood instead. Why women don’t present “atypically” with sleep apnea; the screening tools were built on men What hormone therapy can and can’t do for sleep. In Dr. Matsumura’s practice, a quarter to a third of women on it still struggle. Melatonin in midlife: what the European data shows, and why US over-the-counter doses miss the mark Supplements like magnesium, valerian, and lavender: thin evidence, and they won’t fix a medical cause The two least glamorous habits that move the needle most: a fixed wake time and morning light About Dr. Andrea Matsumura Dr. Andrea Matsumura (MD, MS, FACP, FAASM, MSP) is a double board-certified Sleep Medicine physician and a nationally recognized expert in sleep and menopause. She created the D.R.E.A.M. Sleep Method™ and the Sleep Goddess Archetype™, frameworks that help women understand the biological drivers of midlife sleep disruption. She is Chief of Sleep Services for Monarch MD. She has been featured in The New York Times, CNN, and SHAPE, and appears regularly on national TV and podcasts. Connect with Dr. Matsumura Website (free resources and the chronotype quiz): andreamatsumuramd.com Instagram: @drandreamatsumura TikTok: @andreamatsumuramd YouTube: @drandreamatsumura LinkedIn: @andreamatsumuramd Facebook: @drandreamatsumura Her book, When Women Stop Sleeping: Solving the Sleep Crisis from Menstruation to Menopause, is coming in 2027. Share this episode with one woman who is exhausted and has been told it’s normal. Subscribe, leave a review, and tell us what you’re still wondering about menopause and sleep. We’ll answer it in a future episode. This episode is for educational purposes and is not medical advice. Talk with your own clinician about your sleep.
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