I'm about three years older than you are and suspect that you might be right about the perimenopause, at least in part. I'll be 53 this month and went into full-on menopause about 18 months ago. Having trouble sleeping is, according to my gyno, a pretty typical side effect of perimenopause (and onward into menopause, bleagh.) So is "brain fog"---the inability to concentrate as well as you used to. Not to mention simply not having quite as much natural get-up-n'-go. (Can't wait for the post-meno zest!!)
Have you tried melatonin yet? I use it occasionally when I think I'm likely to have a restless night. The only side effect that I'm not crazy about is a slight groggy feeling in the morning. But that might just be me; YMMV!
A little lavender on your pillow might help too. The scent has a relaxing effect.
I'm wondering if you have any aches or pains that are waking you up? I've found that since about age 45 I've had a heckuvatime getting really comfortable at night. I did the usual: changed mattresses, pillows, etc., in search of relief. I also started sleeping with a pillow between my knees, which helped some, but didn't solve the problem. I finally recognized that I was often waking up because I was in pain, particularly if lying on my side. (My favorite sleeping position.) In my case, it was a deep burning achiness that at first I couldn't identify. After digging around online here on TE and elsewhere, I finally realized that the source of the pain appeared to be mainly tight IT bands, with tight quads and hamstrings thrown in.
I started doing pigeon pose and other IT band "stretches" religiously (including foam roller stretches) and within a month a pain that had been keeping me awake every night for MONTHS on end virtually disappeared. I'm sleeping better now than I have in probably five or six years. (Not perfectly, mind you, but MUCH better.)
I'm sure other TE'ers will have plenty of insights to share! Good luck!



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