Deficient sleep is one of the most common causes of illness and frustration among adults. Deficient sleep can be both the cause and effect of imbalanced hormones. Through a greater exploration of this reciprocal relationship between sleep and hormones, one will come to understand the urgency for addressing sleep needs with or without hormone replacement therapy. Some patients warrant hormone replacement to address impaired sleep, while hormone replacement would be potentially inappropriate for others. This presentation aims to explore the interdependent dynamics between sleep and hormones and their impacts on patient treatment choices.