Hot flashes, hormonal shifts, and the conditioned insomnia they create — three modules covering the mechanism, HRT evidence, and CBT-I for postmenopause.
Sleep disruption in menopause
Affects 40–60% of perimenopausal women. Hot flashes peak during deep sleep — fragmenting the most restorative sleep stage. This is physiological, not psychological. Both HRT (for VMS) and CBT-I (for conditioned insomnia) are effective.
Kravitz (2003) · Joffe (2010) · Jehan (2017) · Educational content — not a substitute for gynaecological care.