Medically reviewed by Daniel Lew, M.D.

For many women, once we hit midlife, sleeping through the night starts to feel like a pipe dream. Nearly half of women ages 40 to 65 say they’re suffering from poor sleep quality, according to a study published in the Journal of Clinical Sleep Medicine.

As we approach menopause, our levels of estrogen and progesterone—hormones that help us fall and stay asleep—begin to fluctuate, says Tara Scott, M.D., a board-certified ob/gyn in Fairlawn, Ohio. As a result, we’re more prone to lighter sleep. In midlife, we’re also at greater risk of developing health conditions linked with disrupted zzz’s, such as sleep apnea or restless legs syndrome.