It Is 3 a.m. Again. This Is Perimenopause.

You are awake. Not restlessly. Fully, uselessly awake, with a body that will not power down. Some nights you cannot fall asleep at all. Some nights you drop off fine and surface at 3 a.m. as though someone flipped a switch. Some nights you wake soaked and have to change your shirt. You have tried the earlier bedtime, the magnesium, the blackout curtains, no phone after nine. You have been doing this for months. Maybe years. Then the alarm goes off, and you go to work and function anyway. If you have mentioned it to a doctor, there is a reasonable chance you were told it is stress, or that you are doing too much, or that this is what happens in your forties. You may have been handed something over the counter. You almost certainly were not told the most important thing, which (...)

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