Perimenopause Management
Question
I am going through perimenopause and one way that I am suffering is that I am not sleeping enough. Usually I wake up 4am and since I don’t get to sleep till 11pm most nights that means I end up sleep deprived. This has been going on for years, worse at some times, not as bad others. I have heard about HRT and am not sure about it- whether it is halachically permitted, safe or has other side effects that would outweigh its benefits. Ideally I would like a more natural approach to handle it. I wonder how detrimental this lack of sleep is long term to my health. But then I also think that if G-d made our bodies so that we would go through this experience during perimenopause then we shouldn’t unnaturally mess with our bodies because He wouldn’t approve. I was wondering if you could tell me if there are any halachic guidelines about this?