Very possibly — and it’s something we take seriously. The relationship between perimenopause, declining progesterone, elevated cortisol, and disrupted sleep is significant and consistently under-addressed in conventional care. If your sleep has worsened in your late thirties or forties, particularly alongside increased anxiety, night waking, or temperature changes, hormonal factors are very likely part of the picture. Our approach to nervous system regulation directly supports the body’s resilience through those shifts.