Sleep problems can include insomnia, frequent nighttime waking, or poor sleep quality. While many factors can contribute, hormones play a key role in regulating the sleep-wake cycle. Shifts in estrogen, progesterone, or testosterone may make it harder to get consistent, restorative rest.
Trouble falling asleep or staying asleep
Restless or disrupted sleep patterns
Night sweats or overheating that interrupt rest
Waking up frequently at night
Daytime fatigue or low energy despite hours in bed
Reduced concentration or productivity due to poor sleep
Because these symptoms may overlap with other health concerns, we carefully evaluate each patient to determine whether hormones may be a contributing factor.
Hormones influence the body’s ability to regulate temperature, mood, and the sleep-wake cycle. During menopause and perimenopause, changes in estrogen and progesterone may lead to hot flashes, night sweats, or difficulty staying asleep. In men, low testosterone has also been linked to sleep disruption and fatigue.
At InnerMD, we evaluate whether hormone therapy — such as menopause hormone therapy, testosterone replacement therapy, or personalized hormone care — may play a role in improving sleep as part of a personalized plan.
We use a clear, patient-centered process to support patients experiencing sleep problems:
Intake Form – Complete our secure intake form to share your history and symptoms.
Virtual Consultation – Meet with Dr. Johnston to review your concerns and health background.
Lab Testing (If Needed) – Ordered when hormone testing may help explain sleep issues.
Personalized Treatment Plan – Tailored care that may include hormone therapy or other strategies.
Ongoing Follow-Up – Regular reassessments every 3–6 months until stable, then annual check-ins.
Meet Dr. Jennifer Johnston
Dr. Jennifer Johnston is a practicing family physician from the Annapolis Valley of Nova Scotia.
She completed her medical training at Dalhousie University and later became board certified in Lifestyle Medicine by the ACLM, she specializes in bioidentical hormone therapy for men and women.
By using the latest research, she aims to harness the body’s natural ability to heal. She is dedicated to giving patients the tools and treatments needed to restore and repair the body for optimal health and vitality.
We focus on identifying whether hormone changes are contributing to sleep issues.
Every treatment plan is tailored to the individual’s symptoms, medical history, and goals.
From Halifax & across Atlantic Canada, including Nova Scotia, New Brunswick, Newfoundland & Labrador and Prince Edward Island, our care is available through secure telehealth visits.
We provide judgment-free, individualized care designed to improve overall well-being.
No matter where you are, you can receive hormone therapy for brain fog or cognitive changes through secure, virtual consultations, including Halifax, Cape Breton, Annapolis Valley, Digby, Truro, and more across Atlantic Canada, including Nova Scotia, New Brunswick, Newfoundland & Labrador and Prince Edward Island
Not always. Sleep can be affected by many factors, including lifestyle, stress, or medical conditions. Hormones are just one possible contributor.
In some cases, hormone therapy may help if imbalances are part of the problem. Treatment decisions are always personalized.
Yes. Women may experience sleep disruption during perimenopause and menopause, while men with low testosterone can also report poor sleep.
Lab work may be recommended but is not required for every patient. This will be discussed at your consultation.
Yes. We provide virtual care across Nova Scotia, including Cape Breton, the Annapolis Valley, Digby, and Truro, and across Atlantic Canada, including New Brunswick, Newfoundland & Labrador and Prince Edward Island
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