Alaska Sleep Education Center

Menopause and Obstructive Sleep Apnea

As women enter menopause a decrease in the production of certain hormones causes many physical and emotional changes  Along with hot flashes and mood fluctuations breathing issues such as obstructive sleep apnea OSA can be more severe  Learn about the connection between menopause sleep and OSAand what you can do about it
What is OSA 
OSA is a condition in which breathing is temporarily paused and interrupted during sleep It can present itself as snoring or gasping for breath and is generally triggered by the throat muscles relaxing too much during the night This causes the airway to close leading to a gasping sensation  More than 18 million adults have sleep apnea and while it is more common in men the odds of experiencing OSA increase in women during and after menopause Theres also an increased risk if you have family members with sleep apnea if youre overweight or if you smoke or drink  
Why does menopause make it worse
During menopause levels of the hormones estrogen and progesterone decrease in womens bodies These hormones act as stimulants and play a role in keeping airways open by maintaining muscle tone in the throat As they decrease the chances of obstructed breathing rise  Whats more hormonal changes can lead to weight gain and a redistribution of body fat sending more fat to the throat area which can cause disrupted breathing
How can it be treated 
Speak with your doctor about your symptoms In some cases a low dose of hormone therapy might be prescribed  For mild cases of OSA your physician may suggest lifestyle changes like losing weight or cutting back on pre bedtime alcoholic beverages For moderate or severe cases of sleep apnea using a continuous positive airway pressure CPAP machine when you sleep could be the answer This device moves air pressure through a mask that you wear over your nose and helps keep your upper airways open which helps you stay asleep 
How Do Sleep Cycles Vary Between Men and Women
A cup of coffee isnt the only thing that can cause your energy levels to jump around The other reason why you feel wide awake at some points of the day and drowsy at others Your circadian rhythm an internal clock that helps regulate the cycle of when you feel sleepy and when you feel alert  In a broad sense circadian rhythms are similar from person to person operating on roughly 24 hour cycles But it turns out there are some notable differences in the sleepwake patterns of women and men which could explain why men tend to be night owls while women are more apt to beMenopause leads to hot flashes. early risers
How It Works
Circadian rhythms are controlled by an area of the brain called the hypothalamus Other influences include light which sends a message to your brain that its time to wake up and darkness an indicator to your body that its time to release melatonin a hormone that helps you fall asleep Regular sleep patternswaking up and going to bed at the same time dailyalso keep your circadian rhythm functioning normally helping to reduce the chance of sleep trouble such as insomnia
What Sex Has to Do with It
Beyond these factors theres another important variable that influences your internal clock sex It turns out male and female circadian rhythms dont exactly match up Mens clocks tend to run truer to a full 24 hour cycle or longer on average men have a circadian cycle thats six minutes longer than women meaning they may feel less tired in the evening In women the internal clock is more likely to be shorter than a full 24 hour cycle making it more likely that they will awaken earlier which may also increase their susceptibility to early waking sleep disturbances like insomnia
Handling Sleep Cycle Interruptions
While eight hours per night on average is ideal for both genders it turns out that men are harder hit by periods of deprivation5 Lack of sleep causes work performance to suffer more for men than for women and men recover less quickly from lack of sleep than women do  On the other hand womens shorter cycles mean they are more likely to have a dip in energy at night which could help explain why theres an increased risk of work related injuries in female shift workers 
Of course it is possible to learn how to re train your inner clock to help you feel more awake or sleepy at different parts of the day depending on your lifestyle needs But left to its own devices the bodys natural rhythms make it more likely that if you are a man you will be a night owl and for women an early bird
Alaska Sleep Clinic is the most comprehensive sleep lab company in Alaska  Call us today for your free sleep assessment
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Jennifer Hines
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Brent Fisher, MBA, FACHE, FACMPE
President and Chief Executive Officer

“Alaska Sleep Clinic has a history of providing the most comprehensive sleep medicine services in the state of Alaska. Its potential has only begun. I am here to take these high-quality, comprehensive services to all Alaskans.”

Experience

Brent Fisher has held leadership positions spanning a wide variety of complex and start-up organizations: manufacturing (pharmaceutical & medical device), software development, hospitals (academic and community), medical groups, consulting, hospice, military, engineered devices, engineered plastics, and private equity.

Publications and Organizations

His writings have been published in various magazines, trade journals, and medical journals, including the Physician Executive Journal, Healthcare Executive, Modern Healthcare, Group Practice Journal, New England Journal of Medicine, and Journal of Healthcare Management (Best Article Award).

He has served on the Board of Directors of professional associations, civic organizations, and businesses.

Hobbies and Activities

Brent enjoys being with his family, serving in the community, hiking, camping, fishing, and hunting.