Hormone Effects on Sleep in Women: Estrogen and Progesterone

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Hormone Effects on Sleep in Women: Estrogen and Progesterone

Is there anything worse than hitting the pillow exhausted from a long day only to toss and turn for hours, unable to fall asleep? Or perhaps you fall asleep but bolt awake a few hours later?
Although sleep difficulties can have many causes, hormonal fluctuations can steal many hours of precious sleep.

Low progesterone and problems sleeping

Low progesterone seems to have become increasingly common among women and can play a large role in sleep problems. Progesterone is referred to as the “calming hormone” whereas estrogen is more excitatory, and low progesterone is associated with sleeping difficulties.

Chronic stress can impact progesterone levels. Every time you experience stress your adrenal glands release cortisol, a stress hormone. When demand for cortisol is constantly high the body borrows pregnenolone, which is needed to make progesterone and other hormones, to make cortisol instead. This is called “pregnenolone steal” because the body steals pregnenolone from the hormone cascade in order to keep pace with the demands of stress.

Stopping pregnenolone steal may help improve hormone function and improve sleep. Strategies for stopping pregnenolone steal include an anti-inflammatory diet, which eases the body’s burden of stress. You may also need to work on restoring gut health, taming chronic inflammation, or managing an autoimmune disease appropriately, approaches that benefit from the guidance of an experienced practitioner.



Estrogen and sleep problems

When estrogen is too high and progesterone too low, it can cause sleep problems for the obvious reason—there is too much of the excitatory estrogen compared to the calming progesterone and the brain can’t calm down enough to rest. A proper ratio between the two is important.

Low estrogen can also contribute to sleep problems. Estrogen is intimately connected with serotonin, a brain chemical that is converted to the sleep hormone melatonin. Low estrogen may lead to low serotonin activity and contribute not only to sleep problems but also depression and anxiety. The female brain is highly dependent on sufficient estrogen for normal function in general, and low estrogen can also cause symptoms that include brain fog and memory loss.

Strategies to support hormone balance

Tending to adrenal function and other health issues may help correct hormonal imbalances. This includes not only reducing lifestyle stress, but also eliminating dietary stressors. Eating a diet lower in carbohydrates to prevent blood sugar swings, avoiding foods that cause an immune reaction, not drinking too much alcohol, tending to bacterial gut infections and other aspects of digestive health, and supporting immune balance are all whole-body approaches that can foster proper hormone function and improve sleep.