Best Mattresses for Menopause of 2023

Expert Insights from Dr. Veena Madhankumar, an OB/GYN with 24 years of clinical experience, and Dr. JB Kirby, a doctoral-prepared nurse practitioner who’s been in health care since 1984.

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The physical changes brought about by menopause affect not just your waking hours but also the time you spend sleeping—or trying to sleep, as you deal with hot flashes, back pain, and other symptoms. The good news is that the right mattress can help you enjoy the healthy, restorative sleep that sometimes seems like a distant memory.

We’ve selected a list of the best mattresses for menopause, high-quality beds designed to stay cool and provide pain relief. You can also read expert advice from women’s health-care professionals and learn how to choose the best bed for you in our comprehensive buyer’s guide. Keep reading to find your sleep solution today.

Best Mattress for Menopause: Our Top Picks

• Editor’s Pick – Saatva Classic
• Best Mattress for Hot Flashes – Helix Midnight Luxe
• Best Mattress for Back Pain – DreamCloud
• Best Mattress for Couples – Casper Wave Hybrid
• Best Budget Mattress – Brooklyn Bowery Hybrid
• Best Mattress for Hip Pain – Leesa Legend

Why You Can Trust Mattress Advisor

We hold ourselves to the highest standards of integrity in our product reviews and other content by incorporating real customer feedback, empirical testing and objective evaluations. Our results and recommendations are never influenced by the commission we may receive from brands, and products we receive are never guaranteed a positive review.

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Saatva Classic

Pros

The Saatva Classic is our Editor’s Pick because of its outstanding overall rating and because it performs particularly well in areas related to menopausal symptoms. We give it a 9/10 score for cooling, an essential factor for nighttime hot flashes. The luxury hybrid also provides excellent spine alignment (10/10 score) and pressure relief (9/10) to help relieve aches and pain, as well as outstanding edge support (10/10).

Cons

Couples should take note of the Saatva Classic’s motion transfer score, a relatively disappointing 7.5/10. It might not be the best mattress for people who don’t want their nighttime movements to disturb their sleep partner. Although Saatva offers free white-glove delivery that includes in-home set-up, each mattress is made to order, and delivery can take as long as three weeks.

Read our full Saatva Classic mattress review.

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Helix Midnight Luxe

Pros

The Helix Midnight Luxe is an excellent mattress for hot flashes, in addition to being one of the coolest mattresses we’ve ever reviewed. It earns a near-perfect 9.5/10 Mattress Advisor score for cooling, which makes it a superb choice for women experiencing interrupted sleep from hot flashes or run-of-the-mill night sweats. The luxury hybrid’s performance in pressure relief and spine alignment are also above average.

Cons

The Helix Midnight Luxe’s performance in motion transfer (7.5/10) should be a red flag for couples, especially if they’re restless sleepers who toss and turn. The price ($2,049 for a queen size) could be a non-starter for budget shoppers, although holiday sales and exclusive discounts for online shoppers might knock a few hundred dollars off the regular price.

Read our full Helix Midnight Luxe mattress review. You can compare similar beds in our roundup of best mattresses for hot sleepers.

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DreamCloud

Pros

The DreamCloud’s hybrid design includes a comfort layer with gel memory foam that helps it earn a 9/10 pressure relief score. Factor in a 9/10 spine alignment score and you have a mattress that’s quite capable of helping ease back pain and joint pain associated with menopause. Also, its edge support score is a flawless 10/10.

Cons

The DreamCloud’s 8.5/10 cooling score is objectively good, but women experiencing hot flashes or night sweats might want something even cooler. Despite the pressure-relieving qualities and spine alignment that match up well with the needs of side sleepers, some could find the DreamCloud a bit too firm for their comfort (6.5/10 firmness level).

Read our full DreamCloud mattress review. Also, see our roundup of best mattresses for back pain.

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Casper Wave Hybrid

Pros

With an overall score of 9.1/10, the Casper Wave Hybrid is one of our highest-rated mattresses, period. The key to its appeal as a couples mattress is its 9/10 score for motion transfer, which measures how well a mattress contains and isolates movement. The Casper Wave Hybrid helps ensure you and your partner don’t disturb each other during sleep while also providing relief from hot flashes (9/10) and promoting healthy spine alignment (9/10).

Cons

This memory foam/innerspring hybrid provides pressure relief that’s good but not excellent (8.5/10 score), a point worth noting for people with serious aches and pains. At $2,895 for a queen size (regular price), the Casper Wave Hybrid isn’t the most budget-friendly option either.

Read our full Casper Wave Hybrid mattress review. To see more top beds for two, see our roundup of best mattresses for couples.

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Brooklyn Bowery Hybrid

Pros

If you need a good mattress for menopause symptoms that won’t break your budget, the Brooklyn Bowery Hybrid could help you save without feeling like you’re settling. At just $874 for a queen size, the affordable hybrid from Brooklyn Bedding is a great mattress for the money. It shows solid performance for cooling and edge support (8.5/10 score in each category), as well as slightly better for spine alignment (8.75/10).

Cons

The Brooklyn Bowery Hybrid doesn’t exactly dazzle in the categories of pressure relief and responsiveness (8/10 score for each), which could be a problem for sleepers with joint pain and for restless sleepers. With a 5/10 firmness rating, it’s probably not firm enough for some back sleepers and most stomach sleepers.

Read our full Brooklyn Bowery Hybrid mattress review. You can see other budget-friendly beds in our roundup of best mattresses for the money.

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Leesa Legend

Pros

If your menopause symptoms include hip pain, the Leesa Legend has features and capabilities that could make for more restful nights. We give it a 9/10 spine alignment score, and it includes a Memory Foam Recovery Layer designed to relieve pressure points in the hips, back, and other pressure-sensitive areas. The Legend’s 8.5/10 cooling score is good news for people experiencing hot flashes too.

Cons

Regular price for a queen size is $2,399, which doesn’t put the Legend in the ultra-luxury range but is still higher than average. Couples might find fault with how it performs in motion transfer (8/10 score), especially if one (or both) is a restless sleeper who tosses and turns a lot.

Read our full Leesa Legend mattress review. Also, see our roundup of best mattresses for hip pain.

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Guide to the Best Mattresses for Menopause

An estimated 1.3 million American women enter menopause every year, and many of them find that it alters how they experience their nights as well as their days. Symptoms such as hot flashes, sleep apnea, and back pain can make it harder to go to sleep, harder to stay asleep, and more difficult to enjoy the restorative nightly rest that every person needs.

The good news is that the right mattress and a healthy sleep routine can help. In this guide, we’ll explore solutions and remedies for women who face the challenge of sleeping well as they enter this new stage of their lives.

• What is Menopause and How Does it Affect Sleep?
• How to Choose the Right Mattress for Menopause
• Sleep Tips for Menopausal Women

What is Menopause and How Does it Affect Sleep?

Menopause is a biological process that takes place when a woman reaches the end of the reproductive phase of her life. Diagnostically speaking, menopause begins after a woman has gone 12 consecutive months without having a menstrual cycle, apart from pregnancy or illness.

Menopause usually happens as part of the natural aging process, but women might experience it earlier if they’ve had their uterus or ovaries surgically removed or undergo certain cancer treatments. It typically lasts seven years but in some cases could last twice as long.

“In general, the onset age of menopause is between 45 and 55 years,” says Dr. Veena Madhankumar, an OB/GYN. “In most women, the onset of menopause is at age 51. The onset of menopause before age 45 is called early menopause, and before 40 is called premature menopause.”

Levels of estrogen and other reproductive hormones typically start to fluctuate as a woman approaches middle age and eventually show a dramatic decrease. These hormonal imbalances often lead to or increase the risk of:

• Hot flashes (experienced by about 75% of women)
• Pain and stiffness in the joints
• Sleep apnea
• Osteoporosis, which can in turn lead to back pain and stooped posture
• Anxiety, depression, and other mood disorders

In recent years, researchers have also studied the possibility of a connection between menopause and fibromyalgia.

What are the Effects of Menopause on Sleep?

It’s easy to see how sleep apnea poses a problem, since it involves airway obstructions that interrupt normal breathing and disrupt your sleep. However, even symptoms that aren’t directly related to sleep—overheating, pain, mood disorders—often lead to difficulties in their own right.

According to Dr. Madhankumar, the effects also carry over into the waking hours.

“Mood disorders like anxiety and depression that occur as an effect of menopause also interfere with the ability to get a night of restorative sleep,” she says. “Irritability, forgetfulness, and daytime sleepiness are also seen, which hampers the individual’s day-to-day activities. This, in turn, can affect the personal and work life.”

Anxiety and depression can affect not just how much you sleep but how much time you spend in the different sleep cycles.

“Many people with depression sleep too much or too little. Studies have also shown that people living with depression and anxiety spend a greater amount of their sleep time in the REM stages,” says Dr. JB Kirby, a doctoral-prepared nurse practitioner and wellness expert.

The brain becomes more active during REM sleep (or rapid eye movement sleep), the stage associated with processing memories, solving our waking problems, and possibly improving mood. However, just as too little REM sleep can be problematic, so can too much REM sleep since it can leave you feeling sleepy and groggy in the daytime.

How to Choose the Right Mattress for Menopause

If you’re concerned about menopause symptoms affecting your sleep, always begin by talking to your OB/GYN or family physician. They can help you make a sleep hygiene plan and, if needed, prescribe medication.

Although the doctor’s office should always be your first stop, your next stop could be the bedroom.

The right mattress and bedding accessories can also help you address the menopause symptoms that have disrupted your sleep routine. Here’s a breakdown of how different mattress properties can help improve sleep for menopausal women:

Cooling

Many of today’s best mattresses focus on keeping hot sleepers cool. Aerated latex, gel-infused memory foam, and other innovations can help prevent night sweats as well as menopausal hot flashes. You can also accessorize your cooling mattress with a cooling mattress topper and cooling sheets.

Pressure Relief and Spine Alignment

Mattresses that provide excellent pressure relief and spine alignment are the top choices for people experiencing back pain or joint pain. These properties help cushion sensitive pressure points and promote a healthy natural alignment through the shoulders, back, and hips. Memory foam mattress toppers can provide additional pressure relief.

Edge Support

A mattress that resists sagging around the edges makes it much easier to get out of and into bed, especially if back or joint pain makes standing up or sitting down difficult. Edge support also increases durability and helps you enjoy the entire mattress surface.

What if Sleep Apnea is One of Your Symptoms?

As unpleasant as hot flashes and joint pain are, sleep apnea is a menopause symptom that demands the most attention. Problems with obstructed airways and interrupted breathing during sleep can have serious detrimental health effects. An adjustable mattress designed to alleviate the symptoms of sleep apnea could be in order, based on your doctor’s advice.

More Resources:

• What is Sleep Apnea? Types and Treatment Options
• Best Mattresses for Sleep Apnea
• Best Pillows for Sleep Apnea

Don’t Forget the Fundamentals of Choosing a Mattress

Focusing on qualities specifically related to menopausal symptoms doesn’t mean you should neglect the basics of choosing the right mattress. Here are some factors to keep in mind:

• Sleeping Position: Side sleepers, back sleepers, stomach sleepers, and combination sleepers benefit from different mattress materials and designs.
• Materials: The main building blocks—memory foam, latex and innerspring coils, plus hybrids that combine them in layers—deliver a distinct feel with advantages and disadvantages for different types of sleepers.
• Firmness: The mattress firmness that’s right for you depends on more than your comfort preferences. Factors including your sleeping position, your size, and whether you have back pain also play a role.
• Sleep Partners: The ideal mattresses for couples share certain qualities that might not matter to solo sleepers, especially motion transfer capabilities that isolate movement.
• Budget: A high-quality mattress in queen size or larger typically costs about $1,300, give or take. If cost is a big factor in your decision, many budget mattresses deliver excellent comfort and durability at a lower price.

For further details, see our comprehensive Mattress Buying Guide.

Sleep Tips for Menopausal Women

In addition to choosing a special mattress and accessories, maintaining a healthy sleep regimen can help you address symptoms that cause you to lose sleep. Here are several recommendations from our experts, Dr. Madhankumar and Dr. Kirby:

Control Your Schedule and Setting

• Follow a consistent routine to wind down before bedtime, like reading a book, taking a warm bath, listening to soft music, etc.
• Make your bedroom quiet and relaxing. Keep the room at a comfortable, cool temperature
• Keep a consistent sleep schedule. Get up at the same time every day, even on weekends or during vacations
• Set a bedtime that’s early enough for you to get at least 7 hours of sleep

Take Care of Your Body

• Exercise regularly
• Eat healthy (especially cutting down on sugar)
• Don’t eat a large meal before bedtime. If you’re hungry at night, eat a light, healthy snack
• Avoid caffeine in the late afternoon or evening
• Avoid alcohol before bedtime

When, Where, and What

• Avoid daytime naps, or at least limit them to 30 minutes
• Use your bed only for sleep and sex
• Limit exposure to bright lighting in the evenings
• Turn off electronic devices at least 30 minutes before bedtime

A Closer Look at Our Selection Process

In choosing our best mattresses for menopause, we emphasize three testing categories—cooling, spine alignment, and edge support—where the right mattress can help address menopause symptoms such as hot flashes and back pain. Here’s a look at how our picks performed in the Mattress Advisor Sleep Lab:

Mattress	AVERAGE SCORE (OUT OF 10) FOR COOLING, SPINE ALIGNMENT, AND EDGE SUPPORT
Saatva Classic	9.7
Helix Midnight Luxe	8.8
DreamCloud	9.2
Casper Wave Hybrid	8.9
Brooklyn Bowery Hybrid	8.6
Leesa Legend	8.8

Note: The testing categories we focus on in this chart don’t reflect overall performance. Depending on your needs and preferences, you might put more or less value on particular qualities.

About Our Experts

Dr. Veena Madhankumar is an obstetrician and gynecologist. She received her undergraduate degree from Coimbatore Medical College and her postgraduate degree from Sri Ramachandra Medical College. She is a pioneer in helping introduce ultrasound, laparoscopy, and fetal medicine to rural areas of India and has 24 years of clinical experience.

Learn More About Dr. Madhankumar

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Dr. JB Kirby is a doctoral-prepared nurse practitioner (DNP) and a health and wellness expert focusing on topics including diet, exercise, and stress reduction. She received her Doctor of Nursing Practice degree from Ohio State University. Involved in health care since 1984, she has also worked as a firefighter, paramedic, and registered nurse.

Learn More About Dr. Kirby