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Sleep across your cycle

Why the week before your period can feel restless

Movement & sleep3 min readDeep dive

Written by the Splash teamSources checked

On this page 4 sections
  1. Quick answer
  2. What changes in the luteal phase
  3. NHS-backed sleep habits
  4. Sources

Quick answer

  • Trouble sleeping is a recognised PMS symptom, and cramps can wake you in your period.
  • The luteal phase brings less REM sleep and a smaller night-time temperature dip.
  • A regular routine and a cool, dark room help most.
  • Long-lasting sleep problems are worth a GP chat, and CBT works.

If your sleep goes wobbly before your period, you are not imagining it. The NHS lists trouble sleeping among common PMS symptoms, and a review of the research says people with PMS symptoms or painful cramps often sleep worse just before and during a period.

What changes in the luteal phase

After ovulation, progesterone rises and nudges your body temperature up slightly. The sleep research also shows a smaller dip in body temperature at night and less REM (dreaming) sleep in the luteal phase. Add in cramps, night-time trips to change products, and PMS worries, and sleep can easily suffer. Poor sleep can leave you tired and irritable the next day, which is the last thing PMS needs.

  1. Period

    Cramps can wake you. Painkillers before bed (if suitable for you), a heat pad, and period pants or an overnight pad can help.

  2. Follicular

    Sleep is often easier. A good time to lock in a regular routine.

  3. Ovulation

    Usually settled. Keep your routine going.

  4. Luteal

    You may feel warmer and more restless. Keep the room cool and have caffeine earlier in the day.

NHS-backed sleep habits

  • Get up at the same time every day and go to bed when you feel sleepy.
  • Relax for an hour before bed, with a bath, a book or calm music, and keep screens away.
  • Keep your bedroom dark, quiet and cool.
  • Avoid smoking, alcohol, tea and coffee for at least 6 hours before bed.
  • Avoid big meals late at night and exercise within 4 hours of bed. Exercise earlier in the day instead.
  • Do not sleep in after a bad night. Stick to your usual wake time.
  • If you are still awake after about 20 minutes, get up, do something calm somewhere comfortable, and go back when sleepy.
  • If you lie awake worrying, write a to-do list for tomorrow before bed.
Quick quizWhich change in the luteal phase can make sleep harder?
  1. A smaller night-time dip in body temperature and less REM sleep
  2. Iron levels suddenly rising
  3. Your body needing no sleep
Show the answer

A. A smaller night-time dip in body temperature and less REM sleep

A review of the research found a smaller temperature dip at night and reduced REM sleep in the luteal phase.

Sources

  1. Baker & Lee (2018) Menstrual cycle effects on sleep, Sleep Medicine Clinics
  2. NHS: Insomnia
  3. NHS Every Mind Matters: How to fall asleep faster and sleep better
  4. NHS: PMS (premenstrual syndrome)

Written by the Splash teamSources checked

This is general information, not medical advice. Splash can’t diagnose. If you’re worried, talk to a GP, pharmacist or sexual health clinic. In an emergency call 999 (UK) or 911 (US). How we write and check articles.

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