Waking up at 3am night after night, feeling restless, anxious, or unable to return to sleep, is a common concern for women in their late 30s and 40s. If this sounds familiar, you may be experiencing one of the most common perimenopause sleep issues. While it can feel frustrating or even alarming, this 3am waking is your body’s way of signalling that your hormones, nervous system, and adrenals are out of balance—and it is possible to support them naturally.