Introduction
Carrie: Yes, sort of. If it's strictly a hormone issue, if she says, "I've never had insomnia. I turned 45 and I got insomnia. And, oh, by the way, I'm also having irregular periods and hot flashes and night sweats and all this stuff," I find that going on HRT generally resolves their insomnia.
If they've had insomnia their whole life and, by the way, they're having hormonal issues as well or they're perimenopausal, going on HRT may or may not help their insomnia because their insomnia may be induced by, of course, other things; cortisol, blood sugar, parasites, hypothyroidism, hyperthyroidism. Then I find that it's much more systemic as opposed to just the women who say to me, "I turned 40 and can't sleep," or "I turned 56 and I can't sleep." I'm like, "Oh, perimenopause."
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