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Published on: 2/15/2026
Melatonin declines with age, and in women over 40 perimenopausal shifts in estrogen and progesterone plus increased sensitivity to evening light can disrupt circadian timing, leading to difficulty falling asleep, 2 to 4 a.m. awakenings, night sweats, and daytime fatigue. There are several factors to consider. See below for the most effective next steps, including low dose timed melatonin, morning sunlight and evening light reduction, stress and temperature management, screening for perimenopause and sleep apnea, and when to talk with a clinician about interactions and broader treatments that may change your plan.
Melatonin production and aging are closely connected—especially for women over 40. If you've noticed lighter sleep, early waking, or feeling "wired but tired" at night, you're not imagining it. Your body's natural sleep hormone changes with age, and hormonal shifts during perimenopause and menopause can make those changes more noticeable.
The good news? Understanding what's happening gives you practical, realistic next steps.
Melatonin is a hormone made primarily by the pineal gland in the brain. It helps regulate your circadian rhythm, your internal 24-hour clock that controls sleep and wake cycles.
Melatonin:
Melatonin naturally rises in the evening as light decreases and falls in the morning when light returns.
Melatonin production and aging are linked in several measurable ways:
Research shows melatonin production peaks in childhood and gradually declines throughout adulthood. By midlife, total nighttime melatonin levels are significantly lower than in your 20s.
This means:
This decline is normal—but that doesn't mean you have to ignore symptoms.
For women, the story is more complex.
During perimenopause (often starting in the early to mid-40s):
These changes affect sleep directly and also influence melatonin rhythms.
Estrogen appears to interact with melatonin receptors. As estrogen drops, melatonin signaling can become less efficient—even if some melatonin is still being produced.
As we age, we may become more sensitive to:
Even small amounts of light at night can suppress melatonin production. This effect becomes more pronounced with aging.
You might notice:
Not all of this is solely about melatonin—but melatonin production and aging play a key role.
Many women assume sleep problems are simply "getting older." But if you're over 40, hormonal shifts are often involved.
You may want to look at the full picture of symptoms, including:
If you're experiencing several of these symptoms alongside sleep disturbances, using a free AI-powered tool to check your Peri-/Post-Menopausal Symptoms can help you identify patterns and understand whether hormonal changes might be the underlying cause worth discussing with your doctor.
Melatonin supplements are widely available. But more isn't always better.
Here's what evidence suggests:
Melatonin can be helpful for:
It may be less effective for sleep caused primarily by:
Before starting supplements, especially if you're over 40, speak with a healthcare provider—particularly if you take:
The foundation of healthy melatonin production and aging well is behavioral.
Light is the strongest regulator of melatonin.
Even small changes can make a measurable difference.
Morning light exposure helps anchor your circadian rhythm.
This strengthens nighttime melatonin release later.
Melatonin thrives on rhythm.
Irregular schedules confuse the brain's timing system.
If hormonal changes are fragmenting sleep:
If night sweats are severe, discuss hormonal or non-hormonal treatment options with a doctor.
Progesterone has calming, sleep-supportive effects.
Ways to support balance include:
If symptoms are significant, hormone therapy may be an option to discuss with a healthcare provider.
High nighttime cortisol blocks melatonin.
Helpful practices include:
You don't need a perfect routine—just consistency.
Sleep disruption after 40 is common—but not everything is "just aging."
Speak to a doctor promptly if you experience:
Some sleep issues can signal more serious health concerns and deserve medical evaluation.
Yes, melatonin production declines with age. That's real.
But aging does not mean inevitable suffering.
Many women find that once they:
Their sleep significantly improves—even in midlife and beyond.
Sleep is not a luxury. It is foundational to:
If your sleep has changed, it's worth paying attention.
Aging is a transition—not a decline. With informed adjustments and appropriate medical guidance, you can support healthy melatonin production and aging in a way that protects your sleep, mood, and long-term health.
(References)
* Shokouhi BN, Alizadeh A, Mirza-Aghazadeh-Attari M, Nazari-Robati M, Moravej M, Mousavi M, Nikbakht R, Eslami M, Ghorban-Khosravi S, Mirjalili M. Melatonin in aging and age-related diseases. J Res Med Sci. 2024 Apr 13;29:50. doi: 10.4103/jrms.jrms_463_23. PMID: 38628994; PMCID: PMC11020088.
* Zisapel N. Melatonin and the chronobiology of aging. Clin Sci (Lond). 2018 Sep 12;132(17):1825-1837. doi: 10.1042/CS20180425. PMID: 30206132.
* Shuster LT, O'Connor EA, Ruddy KJ, Visscher SL. Melatonin and women's health. Climacteric. 2020 Feb;23(1):1-8. doi: 10.1080/13697137.2019.1670960. Epub 2019 Oct 1. PMID: 31573426.
* Toffol E, Kalleinen N, Haukka J, Vakkuri O, Partonen T. Melatonin in perimenopausal and postmenopausal women: associations with mood, sleep, and hot flashes. Menopause. 2014 Mar;21(3):284-91. doi: 10.1097/GME.0b013e3182987a05. PMID: 23838708.
* Cardinali DP, Boari J, Brusco LI. The Decline in Melatonin Secretion With Aging and Its Possible Role in Neurodegenerative Diseases. Vitam Horm. 2021;116:327-353. doi: 10.1016/bs.vh.2021.03.003. Epub 2021 Apr 22. PMID: 34108139.
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