Changes in sleep during menopause

Perimenopause and menopause are normal physiological phenomena of women that occur in middle age when estrogen levels gradually decrease along with menstrual irregularities. Women at this stage have to face a lot of health problems, the most common being insomnia perimenopause, insomnia during menopause, which reduces the quality of women's life.

Manifestations of sleep disorders include:
Difficulty falling asleep Difficulty maintaining sleep or staying awake throughout the night Waking up too early Total sleep time is not enough to meet the requirements of each age Sleep not Deep Fatigue, feeling unwell or excessively sleepy during the day. Insomnia perimenopause, insomnia in menopause often has most of the above symptoms. Figures for the number of women experiencing sleep disturbances during menopause range from 28 to 63%. Overall, studies consistently show an increased likelihood of sleep problems during the menopausal transition, which is strongly linked to the occurrence of hot flashes and sweating. .

2.1. Hormonal changes The decline in estrogen during menopause contributes to perimenopausal insomnia and menopausal insomnia. This drop causes symptoms from hot flashes, sweating (vasomotor symptoms) to anxiety and depressed mood affecting sleep quality. Joint pain and bladder problems, such as frequent urination at night, are also common consequences of low estrogen and can disrupt sleep. A decrease in progesterone can also cause perimenopausal insomnia because progesterone has a sleep-inducing effect by acting on brain pathways. Melatonin, another important hormone for sleep, decreases with age. Melatonin secretion is also affected in part by estrogen and progesterone deficiencies that often aggravate perimenopausal insomnia.
2.2. Sleep apnea In addition to loud and intermittent snoring, sleep apnea often causes typical disorders of perimenopausal insomnia and menopausal insomnia such as fatigue all day, not sleeping deeply, quality Poor sleep, ... Sleep apnea was previously considered a male sleep disorder, but that view is gradually changing. Studies have shown that night sweats and hot flashes may be associated with an increased risk of sleep apnea, and it appears to be more common in women who have gone through menopause, especially women Interventional menopause that terminates hormone supply.

2.3. Restless legs syndrome (RLS) Restless legs syndrome (RLS) is another symptom, and women are twice as likely to develop it as men. People with this syndrome have uncomfortable, tingling, stinging, or crawling sensations in their legs. These unpleasant sensations can be repeated throughout the night making it very difficult for them to fall asleep themselves and often doze off a lot during the day. One study of RLS patients found that 69% of postmenopausal women reported that their symptoms were worse than they were before menopause and that menopausal insomnia was more severe than insomnia. perimenopause.

3.1 Lifestyle Modifications: There are a few basic principles that contribute to a healthy lifestyle in general that can help you sleep well:
Eat healthy, exercise regularly but don't do it right before bed. . Maintain healthy relationships and manage stress. Wear loose, comfortable clothing to bed. Clean regularly, make sure the bedroom is ventilated and cool Maintain a regular bedtime schedule, including going to bed at the same time each night. Do not watch TV, eat or read in bed. Avoid too much caffeine, alcohol and nicotine. Avoid napping too much, which can make it difficult to fall asleep at night. Make sure you empty your bladder before going to bed. However, there are times when you just can't control things and need a little help. In subjects with perimenopausal insomnia or menopausal insomnia, using drugs to treat sleep disorders is also a good way to support, but it is necessary to consult a doctor.
3.2 Medication Treatment The most commonly used method for symptoms associated with menopause – like hot flashes and insomnia – is hormone replacement therapy (HRT). HRT includes estrogen given as an oral pill, patch, or vaginal cream, used alone or in combination with progesterone (for women who still have a uterus). If HRT is not right for you, if your menopausal hot flashes and insomnia symptoms are not severe, or if you simply decide not to use HRT, these medications Initially used as an antidepressant may be helpful. These include low doses of fluoxetine, paroxetine, venlafaxine, and many others. Additionally, bazedoxifene has been shown to increase sleep quality, and two other medications—the antiepileptic drug gabapentin—the blood pressure drug clonidine—may also be effective for menopausal symptoms of insomnia. menopause age.

Premenopausal insomnia and menopausal insomnia are common sleep disorders in middle-aged women, they cause many health disorders and reduce quality of life. Talk to your doctor if you have sleep problems. If lifestyle changes and drug therapy don't help much, ask your doctor for a referral to a cognitive behavioral therapist, which has been shown to improve sleep. sleep in women with menopausal symptoms.
Currently, Vinmec International General Hospital is providing pre-menopausal health examination and counseling package. When registering for an examination package, customers will be examined and consulted with a specialist in Gynecology; Perform tests to assess hormone status. When registering for the premenopausal health care package and consultation, customers will receive:
Gynecological specialist examination Gynecological examination, breast examination Transabdominal ultrasound of uterus and ovaries Take specimens as a smear Cervical-vaginal cytology Mammogram (2 sides) Osteoporosis Measure other tests to detect pre-menopausal conditions, if any. All examination procedures are performed by a team of qualified doctors with many years of experience, so customers can be assured of the hospital's examination results.