Awake again at 3 a.m.?
Your sleep deserves attention.
When broken sleep follows you into the next day, it can be hard to know where to start. The 3 a.m. Problem explores midlife sleep and menopause, the research behind them, and questions to bring to a clinical conversation.
Waking at a particular hour does not diagnose a hormone problem. Your symptoms and health history help determine what needs attention.
Free PDF · 6 pages · 14 references
Request the free guideINSTITUTE
Problem
Understanding night waking, menopause, and the questions worth asking.
Inside The 3 a.m. Problem
The guide is educational. Your own symptoms may have more than one explanation.
Sleep and the menopause transition
Understand how night sweats, insomnia, sleep apnea, and other concerns can overlap.
Useful evaluation and treatment questions
Learn why testing needs a purpose and what to ask about hormonal and nonhormonal treatment options.
A more informed care conversation
Use a simple sleep record and a short appointment checklist, with linked references for further reading.
A resource to read at your own pace
Clear explanations, space for notes, and questions to take to your next visit.
Dr. Orlandis L. Wells, MD
Meet the founder of Hormone Therapy Institute in Henderson, Nevada. The practice supports conversations about midlife symptoms, hormone health, and the next step in care.
- Board-certified, American Board of Obstetrics and Gynecology
- Author of Hormone Secrets and Doc, Please Listen
You do not need to figure it out alone.
You can ask for help with disrupted sleep, even when routine results are within range. Menopause may be part of the picture; other sleep or health concerns can overlap. A useful next step is a conversation that considers your experience in context.
Before you request the guide
Is the guide free?
Yes. The guide is available as a free PDF. You can use the request form or the direct reading link below it.
Does waking at 3 a.m. mean my hormones are the cause?
No. Waking time alone cannot identify the cause. Menopause symptoms, insomnia, sleep apnea, medicines, and other factors can overlap and may need assessment.
Will the guide tell me which treatment to take?
No. It is educational reading to support questions and discussion. Treatment decisions require an individual assessment.
Further reading: National Institute on Aging: Sleep problems and menopause · NHLBI: Sleep apnea and women
A place to start, and questions to take forward.
Read at your own pace. Note the symptoms and questions you would like to discuss with a qualified clinician who knows your history.
Request your copy.
The 3 a.m. Problem is a free, 6-page PDF with 14 references. Use the form below to request the guide.
Read the Privacy Policy for information about how your details are handled. Requesting this guide is not a medical consultation.
For education. The guide does not diagnose the cause of your symptoms or provide an individual treatment plan. Decisions about treatment should be made with a qualified clinician who knows your history.