Alaska Sleep Education Center

Sleep Disturbances and Insomnia During Menopause

Menopause, a natural biological milestone typically occurring in the late 40s or early 50s, marks the end of a woman’s reproductive years. This transformative phase involves a decline in ovarian function, leading to the cessation of menstrual periods. While some women navigate menopause with minimal symptoms, others undergo numerous physical and emotional changes. In this article, we’ll explore the symptoms of menopause, focusing on the prevalent issue of sleep disturbances and insomnia in postmenopausal women.

Menopausal Symptoms & Insomnia

Menopause comes with various symptoms like irregular periods, hot flashes, and night sweats. Changes in mood, anxiety, stress, forgetfulness, and sleep problems also become more noticeable. It’s tough but important to tell which symptoms are part of normal aging and which are directly linked to menopause.

Many postmenopausal women struggle with insomnia, which means difficulty sleeping and feeling unrested during the day. Insomnia is diagnosed mostly based on reported symptoms, and advanced sleep studies are usually only done if standard treatments don’t work.

Several things can disturb sleep in postmenopausal women, so treating it involves looking at the whole picture. Health issues like obesity, heart problems, and medication use can affect sleep. Lifestyle choices, such as smoking, drinking alcohol, and consuming caffeinated drinks, can make insomnia worse.

Understanding the connection between sleep and menopause means considering how hormonal changes, age-related health problems, and lifestyle choices all work together. The drop in estrogen during menopause can affect thinking, mood, and make someone more prone to feeling down. Figuring out how these factors relate is essential for finding effective ways to improve sleep during menopause.

Improving Insomnia Symptoms

Improving sleep during menopause involves exploring various options to find what works best for each individual. Some selective serotonin reuptake inhibitors (SSRIs) have demonstrated efficacy in addressing sleep symptoms in menopausal women. However, it’s crucial to consult with a healthcare professional as the benefits need to be weighed against potential detrimental effects.

Hormone replacement therapies are another avenue for improving sleep quality during menopause. While they may show limited objective differences in sleep, the potential risks associated with hormone therapy should be carefully considered.

Alternative therapies, such as acupuncture, have also shown promise in aiding sleep during menopause. Discussing these options with a healthcare provider can help determine their suitability for individual needs.

Menopause brings discomfort like hot flashes, insomnia, and mood swings. Common treatments include Estrogen Replacement Therapy (ERT) and Hormone Replacement Therapy (HRT), but HRT may have serious risks, especially for those with a history of certain conditions. Doctors often prescribe it at the lowest effective dose for a short duration, so discussing its risks and benefits is crucial.

Soy products, like tofu and soybeans, contain phytoestrogen, a plant hormone similar to estrogen, which may reduce hot flashes and improve sleep. Over-the-counter supplements like ginseng, black cohosh, and red clover extract also contain phytoestrogens, but their effectiveness and side effects aren’t fully known, so consult with your doctor.

Cognitive behavioral therapy (CBT) is an effective option for relieving insomnia during menopause. Working with a therapist, you can identify negative thoughts and behaviors affecting your sleep and learn healthier habits. Discuss these options with your healthcare provider to find the most suitable approach for managing your menopausal symptoms.

When considering over-the-counter sleep aids, occasional use is generally considered safe. However, it’s equally important to incorporate lifestyle changes that promote better sleep. Establishing a consistent bedtime routine, finding relaxation an hour before sleep, and avoiding electronic devices or streaming can contribute to a more restful night.

If you have any questions or concerns regarding insomnia symptoms with menopause or any other sleep-related questions, feel free to contact The Alaska Sleep Clinic for further information and be on your way to getting the nightly rest you need.

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Alaska Sleep Clinic's Blog

Our weekly updated blog aims to provide you with answers and information to all of your sleeping questions.

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.