My Menopause Journey

No One Told Me About Restless Legs & Perimenopause

Legs in Limbo

Restless legs pose representing menopause symptom relief, with crossed legs upside down on the wall.

Ah, bedtime—the sacred ritual of winding down, snuggling under the blankets, and drifting into blissful sleep. Sounds peaceful, right? Well, not in my world. Thanks to perimenopause, my nights have turned into an involuntary dance marathon—no music, no rhythm, just my legs doing their own thing while the rest of me begs for sleep.

It starts off innocent enough. A slight tingle in my feet, maybe a little urge to stretch. Then, before I know it, my legs are practically vibrating, antsy, and demanding movement like toddlers on a sugar high. The sheets suddenly feel like a prison, the warmth unbearable, and my feet have one mission: escape.

I try to ignore it—deep breaths, relaxation techniques, even a stern “For the love of sleep, STOP!” whispered into the void. But my legs don’t care about reason. They have their own agenda, and that agenda includes nonstop fidgeting.

The warm sensation creeps in first, slowly spreading from my ankles to my calves. It’s not a cozy warmth like slipping into fresh sheets on a winter night. No, this is more like my legs have decided to run a marathon while the rest of me is in full-blown exhaustion mode. I kick the blankets off, hoping the cool air will settle them down, but within seconds, I’m tangled in the sheets feeling frustrated.

I roll onto my side. Then my back. Then my other side. My wife stirs, half-awake, mumbling, “Are you seriously dancing in bed again?”

“I can’t help it! My legs have a mind of their own!”

This happens most nights. Some nights, it’s a mild annoyance. Other nights, it feels like my legs are auditioning for a role in an interpretive dance performance—completely uncoordinated, totally unnecessary, and happening against my will. The moment I lie still, my legs start their rebellion, a constant demand for movement that simply won’t quit.

Eventually, after what feels like hours of tossing and turning, I admit defeat. I peel myself out of bed and shuffle towards the bathroom, half-asleep, half-irritated, fully desperate. The cool tiles beneath my feet? Absolute bliss. Sweet, sweet relief. I stand there, breathing easy, as if every muscle in my body is finally allowed to relax.

But the calm never lasts long. My feet, still buzzing, crave something more. That’s when I turn to my most trusted weapon: cold water therapy.

I turn the tap on andante wet a cloth on the sink, I place it to my feet and …. ahhhhhh… instant relief.

This little ritual had become my night time survival tactic, my personal battle plan against restless legs and overheated feet during perimenopause. Some nights when it is really bad, my wife will hold the cloth over my feet for me. Apparently, when estrogen and progesterone start fluctuating, the nervous system decides it’s time for some chaos.

Oh, yes. I had no idea either—until I started experiencing it firsthand. It turns out hormonal changes in perimenopause can trigger restless legs syndrome (RLS), a neurological condition that creates an uncontrollable urge to move your legs.

Why can perimenopause cause restless legs?

I’ve read that estrogen and progesterone aren’t just about periods and fertility—they also play a key role in regulating neurotransmitters like dopamine. It’s fascinating how these hormones impact our brain chemistry, not just our reproductive system. (thebettermenopause.com). When these hormones start fluctuating, the nervous system gets a little… unpredictable. The result? Your legs feel like they’re staging a midnight protest.

What to do!

If you’re experiencing restless legs syndrome during perimenopause, know that it’s not all in your head. It’s a real, common symptom caused by hormonal fluctuations. While there’s no one-size-fits-all cure, simple changes like cooling techniques, magnesium, stretching, and reducing caffeine can make a difference.

And if all else fails? Find a good sense of humour. Because let’s be honest—if we’re going to be awake all night, we might as well laugh about it.

Written by Shan, 46

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