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THE HERSCRIPTS GUIDE / POOR SLEEP

Poor sleep.

Make room for rest.

When nights feel unsettled and mornings feel harder, start with the questions that matter.

Prepared by HerScripts Editorial
Updated October 24, 2026 · Clinical review pending

A woman sitting on her bed after an unsettled night.

A COMMON QUESTION

Why am I struggling to sleep?

Poor sleep may involve trouble falling asleep, repeated waking, waking too early, or feeling unrefreshed. Menopause symptoms can be relevant, but medicines, health conditions, habits, and sleep disorders may also contribute. The right next step depends on the pattern and its impact during the day.

[1], [2]

POSSIBLE CONTRIBUTORS

One symptom.

More than one possible cause.

01

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Insomnia

Ongoing difficulty sleeping can require a specific assessment and treatment approach.

02

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Breathing-related sleep problems

Snoring, gasping, or waking short of breath should be discussed.

03

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Medicines and substances

Caffeine, alcohol, nicotine, or medicines can affect sleep.

04

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Other symptoms or conditions

A clinician may ask about pregnancy, menopause, pain, and other changes.

Your history helps guide what to investigate. [1], [2]

A woman keeping a sleep diary as part of an evening routine.

YOUR NEXT STEP

Start with your story.

Find your next step.

Before your appointment

  • Bedtime and wake time on workdays and days off
  • How often you wake and what seems to wake you
  • Snoring or gasping noticed by you or someone else
  • Caffeine, alcohol, and medicines
  • How sleep affects concentration and daily tasks

A MORE PERSONAL CONVERSATION

What might an assessment involve?

A clinician may ask about bedtime, wake time, how long it takes to fall asleep, night waking, and daytime tiredness. A sleep diary can help describe these patterns. An examination, blood tests, or a sleep study may be appropriate when the history suggests another condition.

[1], [2]

A CONSIDERED NEXT STEP

What can I discuss next?

Depending on the diagnosis, care may include a regular sleep routine, cognitive behavioral therapy for insomnia, treatment of another condition, or medication. A sleep medicine or a menopause prescription should not replace an assessment of what is disturbing your sleep.

[1], [2]

WHEN TO SEEK CARE

Some changes need a closer look.

Discuss ongoing poor sleep or daytime impairment with a healthcare professional. Tell them about gasping, loud habitual snoring, or sleepiness that affects driving. Do not drive when you feel too sleepy to do so safely.

YOUR QUESTIONS

Your questions. Clear answers.

Night waking is one possible symptom of insomnia, but it can also occur with other conditions. Its frequency, duration, and effect on daytime function matter.

Not everyone does. A clinician may recommend one when the history suggests sleep apnea or another sleep disorder that needs testing.

Cognitive behavioral therapy for insomnia is a structured treatment that addresses thoughts and behaviors connected with sleep. It is a recommended approach for chronic insomnia.

No. A remote visit can review symptoms and possible next steps, but some sleep disorders require diagnostic testing or specialist care.

LOOK AT THE WHOLE PICTURE

Everything is connected.

Make space for you.

Your next step starts here.

PATIENT CHECK-IN

Coming soon.

Enrollment is not open yet. Eligibility, services, costs, and availability will be explained before you decide to proceed.

Sources and editorial notes

This guide provides general education, not a diagnosis or an individual treatment recommendation. It has not yet been reviewed by a HerScripts clinician. The organizations linked above are information sources, not partners or endorsers of HerScripts.