Sleep
Whole-Body Health
Sleep Problems and Hormones: Care in Scarsdale, NY
Protocol Health looks at the hormone and metabolic side of poor sleep at our Scarsdale, NY clinic: perimenopause and night sweats, low testosterone, thyroid and blood sugar. Where a sleep disorder such as sleep apnoea is suspected, your provider will recommend a sleep study.
Consultation $249, or $349 with blood work.
Medically reviewed by Richard Dentico, MD, Medical Director
★ 5.0 on Google · 107 reviews (as of October 2026) · Physician-led, family-owned
Our Scarsdale clinic serves Westchester County. Telehealth in NY, NJ, CT, FL and CA.
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Sleep Optimization at Protocol Health
Before you book
When poor sleep is part of a bigger picture
Night sweats and early waking are classic perimenopause symptoms, and hormone therapy treats them. In men, poor sleep and low testosterone feed each other, and untreated sleep apnoea lowers testosterone. Thyroid and blood sugar problems disturb sleep too. Protocol Health evaluates those drivers; sleep apnoea itself is diagnosed with a sleep study.
Who this helps
People whose sleep changed alongside other symptoms.
- Night sweats or hot flashes waking you
- Waking at 3 or 4 a.m. in your 40s or 50s
- Poor sleep with low energy or libido
- Sleep that worsened with weight gain
What treatment can involve
Depends on the cause.
Progesterone. Oral micronized progesterone is usually taken at bedtime as part of menopause hormone therapy.
Hormone therapy. Treats night sweats driving the waking.
Sleep study. Suspected sleep apnoea needs a sleep study.
What the evaluation covers
Menopause symptoms. Night sweats and waking, which hormone therapy can treat.
Testosterone and sleep. Low testosterone and poor sleep, checked together.
Thyroid and blood sugar. Labs drawn at the clinic.
Red flags. Loud snoring or witnessed pauses in breathing point to a sleep study.
How a sleep visit runs
In Scarsdale or by video.
- History. Sleep pattern, symptoms, medications.
- Labs. Hormone, thyroid and metabolic markers.
- Plan. Treatment, a sleep study recommendation, or both.
- Follow-up. Checking whether sleep improved.
Common questions
Sleep Optimization: frequently asked questions
Can hormones cause insomnia?
Yes. Perimenopause commonly disrupts sleep, and low testosterone and poor sleep are linked in men.
What if I might have sleep apnoea?
Sleep apnoea is diagnosed with a sleep study. If your history suggests it, your provider will recommend one.
Why is progesterone taken at night?
Oral micronized progesterone is usually taken at bedtime; our post on why to take progesterone at night explains the reasons.
Can I be seen by telehealth?
Yes, for eligible patients in New York, New Jersey, Connecticut, Florida and California.
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