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[EllaAurora]

So sorry you're going through this. I can totally relate, suffering exactly the same at the moment. In my case, its a pretty clear case of not getting enough oestrogen, as I also have other symptoms of low oestrogen.

Sleep can be disturbed by many things obviously, but you already seem to have all the sleep hygiene basics in place, so I'm inclined to thinking -similarly as other ladies above- that your difficulties relate to oestrogen balance. Waking up 3-4am is the classical sign.
Last time i visited my doctor the first question she asked was : hows our sleep? (even before any other symptoms tracking)

Try to get checked by a competent GP -you deserve it!!!