10/19/2026
Does this sound familiar?
You fall asleep without a problem. Then, like clockwork, you’re wide awake around 3 AM. Your heart might be racing. Your mind starts running through tomorrow’s to-do list. And by the time you drift off again, the alarm is about to go off.
If it happens night after night, there’s usually a reason. For many women over 35, that reason is hormonal.
Here are three common causes:
Cortisol spikes too early. Your stress hormone is supposed to rise in the morning to wake you up. When it’s out of rhythm, it can rise in the middle of the night instead.
Blood sugar dips overnight. When it drops too low, your body releases stress hormones to bring it back up, and that can wake you.
Progesterone is dropping. This hormone has a calming effect that helps you stay asleep. It starts to decline in your late 30s and 40s.
Better sleep habits help. But if your hormones are the cause, habits alone won’t fix it.
Care at AMWLC is led by Dr. Sidhu, our triple board-certified physician.
The first step is a free 15-minute discovery call with our team.
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