I have been waking at 3am for months and I am exhausted. I am not sure whether this is the menopause or something else.
Sleep changes are very common in perimenopause, often linked to night sweats, anxiety or hormone shifts. It is still worth checking for other causes such as sleep apnoea, thyroid problems or medication side effects, especially if you snore or wake unrefreshed. Your GP can help you work through these.
Answers here are for general information only and are not personal medical advice. Always speak to a qualified specialist in person before starting or changing any treatment, including HRT. Views expressed are those of the individual specialist and do not necessarily reflect those of The Menopause Network.