Recommended
Progesterone
Protects your uterine lining, improves sleep, and reduces anxiety.
What's going on
Hormonal sleep disruption is its own beast — different from stress insomnia, often resistant to sleep hygiene alone, and very responsive to the right hormonal approach.
DRIVER 01
Night sweats triggered by estrogen shifts
DRIVER 02
Progesterone decline reduces sleep-promoting GABA tone
DRIVER 03
Cortisol patterns shift in perimenopause
Why now
Your symptoms map to a steep hormonal drop.
Estradiol — the dominant estrogen during your reproductive years — drops sharply through perimenopause and menopause. Most of the symptoms we treat trace directly to this curve.
What helps
Recommended approach
Bedtime micronized progesterone is often the fastest sleep fix in midlife. If night sweats are waking you, pairing with estradiol addresses the trigger.
How Gala works
From symptoms to a plan in a week.
No clinic visits. No insurance hoops. A licensed clinician reads your full picture before they prescribe anything.
Tell us your symptoms
5 minutes, in plain language. Symptoms, history, goals — everything a thoughtful provider would ask.
Provider review
A US-licensed clinician reads the whole assessment and builds a plan around the symptoms you actually have.
Treatment + ongoing care
Medication ships free. Adjustments, messaging and provider support are part of the plan.