Dr. Rosie Ross

Dr. Rosie Ross Empowering women to make their midlife positively life changing.

Dr. Rosie Ross, sought-after midlife women’s health expert, is an award-winning Medical Doctor, Herbalist, Author, Speaker, and Integrative Health specialist. Dr. Rosie is truly passionate about women’s wellbeing and powerfully changing menopause education through health literacy and integrative medecine approaches. Author of Approaching the Pause: Candid Conversations on the Journey Towards Menopause, Dr Rosie breaks down the barriers to talking about the sometimes-embarrassing topics of midlife menopausal changes.

Tired at 8pm, wide awake at 10pm… what’s going on? 😴➡️😳If you’re in midlife and feel exhausted all evening, then suddenl...
11/02/2026

Tired at 8pm, wide awake at 10pm… what’s going on? 😴➡️😳

If you’re in midlife and feel exhausted all evening, then suddenly wired the moment you get into bed, you’re not imagining it.

One way we describe this is hyperarousal – a real physiological state where your nervous system spends too much time in “alert” mode.

Your body has two main modes:

⚡ Sympathetic – alert mode
Fight‑or‑flight. Heart rate up, breathing faster, mind busy. Great for getting through the day… not so great at 11pm.

🌙 Parasympathetic – calm mode
Rest‑and‑digest. Heart rate slows, breathing deepens, mind can finally quieten. This is the state that supports sleep.

To fall asleep, your system needs to shift from alert toward calm.
In midlife, that shift can be harder for a few reasons:

Changing hormones (especially progesterone) may reduce some of the brain’s natural “calm” signals

Years of stress and responsibility can train your nervous system to stay “on”

If you’ve spent a lot of nights problem‑solving in bed, your brain can start to associate bed with thinking, not sleeping

The result? Tired and wired at the same time.

This isn’t a character flaw, and it’s not something you’re supposed to fix by willpower alone. It reflects how your nervous system has adapted over time – and patterns like this can often shift with the right strategies and support.

For now, if you recognise yourself in “tired but wired,” know that this is a real, understandable pattern with a biological basis. You’re not imagining it, and you’re definitely not the only one living with it.

If this sounds like you, when is your mind most active – as soon as you get into bed, a few hours later, or around 3am?
This post is for general education and isn’t personal medical advice. If your sleep problems continue or worry you, please talk with your doctor.

🌜Why Midlife Feels Different Now🌛If you’re in your 40s or 50s and feeling more tired, wired, or unrefreshed than you use...
08/02/2026

🌜Why Midlife Feels Different Now🌛
If you’re in your 40s or 50s and feeling more tired, wired, or unrefreshed than you used to… you are not imagining it.
Midlife brings a perfect storm of changes that can nudge your sleep off‑track:
– Hormones are shifting.
Estrogen and progesterone both influence sleep, body temperature, and mood. As they fluctuate, you may notice more night‑time awakenings, feeling too hot, or trouble getting back to sleep.
– Stress load is higher.
Work, caring for children or ageing parents, relationship pressures and financial responsibilities often peak in these years. A busy, “always on” nervous system doesn’t switch off just because you’ve turned out the light.
– Life responsibilities crowd out rest.
Even when you can get to bed, it’s easy to push sleep aside for emails, scrolling, or a bit of quiet time that feels like the only space you get to yourself.
None of this means your sleep is “broken” or that it’s all downhill from here. It does mean your body is dealing with more moving parts than it was in your 20s and 30s… and it needs a bit more understanding and support.
Over the next few weeks, I’ll be sharing short, practical pieces on midlife sleep:
why it changes, what’s going on in your body, and small, realistic steps that many women find helpful.
If you’re reading this and thinking, “That’s me — tired but wired and never quite rested,” you’re not alone, and you’re not failing. Your physiology and your life load are both part of the story.
If you’d like to follow along, tell me in the comments:
What’s hardest for you right now — falling asleep, staying asleep, or waking up exhausted?

08/02/2026

✨🙏A Quick thank you to everyone who voted in the poll 🙏✨
Sleep and fatigue came out on top, with lots of interest in midlife changes, gentle lifestyle tweaks, and a few great questions about bioidentical hormones.

I’ll focus my upcoming posts around these areas so what you see here actually matches what you’re dealing with day to day. If you didn’t get a chance to vote, you can still comment with a number (1–4) or a question — I’m listening.

04/02/2026

🌿 I’d love to shape what I share here around what’s most useful for you right now.
🌿 Which of these topics would you be most interested in hearing more about over the coming weeks?
(Just vote — no need to comment)
1. Understanding midlife changes — why things feel different now
2. Sleep & fatigue — feeling tired, wired, or unrefreshed
3. Stress & overwhelm — nervous system support in midlife
4. Gentle lifestyle shifts — what actually helps without extremes
Just reply with a number- no explanation needed.

If you have less tolerance for noise and overload now — that’s not failure.That’s information.Anchor  #8:“I reduce the n...
01/02/2026

If you have less tolerance for noise and overload now — that’s not failure.
That’s information.

Anchor #8:
“I reduce the noise.”

Try one:
• Say no without explaining
• Declutter one small space
• Create 10 minutes of spaciousness
• Let something be “good enough”

Midlife wellbeing often improves when we stop trying to do it all.

Prompt:
👉 What’s one thing you could let go of this week?

How do you speak to yourself — especially on hard days?For many women, the inner voice has been harsh for decades.Hormon...
28/01/2026

How do you speak to yourself — especially on hard days?

For many women, the inner voice has been harsh for decades.
Hormonal shifts can make that land harder now.

Anchor #7:
“I stop fighting myself.”

Try one:
• Notice harsh self-talk
• Ask “Would I say this to a friend?”
• Replace blame with kindness

You’ve tried criticism.
Did it work?

What if the missing piece wasn’t discipline — but compassion?

Gentle prompt:
👉 What’s one kind sentence you could say to yourself today?

Strength matters more in midlife — but not for the reasons we were taught.Anchor  #6:“I remind my body it is strong.”Thi...
25/01/2026

Strength matters more in midlife — but not for the reasons we were taught.

Anchor #6:
“I remind my body it is strong.”

This is about:
• Bone health
• Metabolic resilience
• Balance
• Independence

Not appearance.

Try:
• Resistance or weight-bearing movement
• Functional strength (lifting, squatting, carrying)
• Consistency over intensity

You’re not trying to look 25.
You’re building the body that will carry you forward.

Prompt:
👉 What made you feel strong this week — even in a small way?

If your sleep is lighter, more broken, or harder to fall back into — you’re not doing it wrong.Sleep architecture change...
21/01/2026

If your sleep is lighter, more broken, or harder to fall back into — you’re not doing it wrong.

Sleep architecture changes in midlife.

Anchor #5:
“I protect my nights gently.”

Try one:
• Lower lights in the evening
• Keep bedtime routines predictable
• Stop judging your sleep
• Practise calm acceptance at 3am

For many women, reducing sleep pressure improves sleep more than trying harder.

You don’t need perfect sleep.
You need your nervous system to feel safe enough to rest.

Prompt:
👉 What’s harder right now — falling asleep, staying asleep, or letting go of frustration?

Hot flushes. Night sweats.Unpredictable heat.They’re common — and they’re manageable.Anchor  #4:“I work with heat, not a...
18/01/2026

Hot flushes. Night sweats.
Unpredictable heat.

They’re common — and they’re manageable.

Anchor #4:
“I work with heat, not against it.”

Try one:
• Dress in layers
• Keep the bedroom cool
• Slow your breathing when heat rises
• Keep cold water nearby

These strategies won’t fix everything — but they give you agency in the moment, which matters more than we realise.

The shift is this:
Not “this is happening to me”
but “this is happening — and I know how to respond.”

Prompt:
👉 Fan, layers, or cold water — what helps you most?

Coffee for breakfast.Miss lunch because you’re busy.Crash mid-afternoon.Sound familiar?Anchor  #3:“I stabilise my energy...
14/01/2026

Coffee for breakfast.
Miss lunch because you’re busy.
Crash mid-afternoon.

Sound familiar?

Anchor #3:
“I stabilise my energy.”

This isn’t about dieting.
It’s about fuel.

Try one:
• Add protein at breakfast
• Eat regularly (don’t push past hunger)
• Pair carbs with protein or and supportive fats or fibre
• Notice when coffee is replacing food

Why this matters in midlife:
Erratic blood sugar triggers stress hormones — and your stress response is already more sensitive now.

You’re not asking your body to do more.
You’re giving it steady support.

Easy engagement:
👉 What’s your quickest protein option in the morning?

12/01/2026

How many of you woke up today already behind?

Midlife often brings a more sensitive stress response.
You’re not broken.
Your nervous system is just… done.

Anchor #2:
“I practise coming out of ‘on’.”

This isn’t meditation.
It’s tiny pauses — repeated often.

Try one today:
• Slow your breathing for 30 seconds
• Pause before replying to a message
• Drop your shoulders when you notice they’re tense
• Create a small transition between work and home

These downshifts reduce the cumulative stress your body carries — and that matters for sleep, hot flushes, and emotional regulation.

You don’t need 20 minutes.
You need 30 seconds, many times a day.

Specific prompt:
👉 Be honest — do you notice tension more in your shoulders or your jaw?

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Coffs Harbour, NSW

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