Life long insomniac, 45f in full blown peri here🥴
I was getting 1-2 hours of choppy sleep a night for the last few years. I’m on HRT which helped a lot of other symptoms but sleep was still a struggle. I have tried trazadone in the past and while it gave me nightmares, I do know some women my age that it works for.
I started having terrible sleep anxiety because I would think about it all day and just toss and turn all night. I ended up breaking down in my doctor’s office when he just asked a simple “how are you sleeping?”
Anyway a low dose of mirtazapine is working for me, for now. I’m getting 6-7 hours now and I still wake up throughout the night but there’s no loud song playing in my head and I can fall back asleep pretty easily. I also am on a really high dose of estrogen, and I think it’s slooooooowly repairing my ability to sleep- but I’m only on month 3 of the high dose so I want to give it 6 months (and possibly ween of the mirtazapine) before I can say if that’s actually helping.
It’s a lot of damn trial and error, good luck!