Sleep and menopause

Abstract

Predominantly, the menopausal transition conveys poor sleep beyond anticipated age effects. Perceptions of sleep are not necessarily translatable from detectable physical sleep changes and are probably affected by an emotional overlay on symptoms reporting. Sleep quality and pattern changes are mostly manifest in wakefulness indicators, but sleep pattern changes are not striking. Likely contributing are VMS of sufficient frequency/severity and bothersomeness, probably with a sweating component. VMA events influence physical sleep fragmentation but not necessarily extensive sleep loss or sleep architecture changes. Lack of robust connections between perceived and recorded sleep (and VMA) could be influenced by inadequate detection. There is a need for studies of women in well-defined menopausal transition stages who have no sleep problems, accounting for sleep-related disorders, mood, and other symptoms, with attention to VMS dimensions, distribution of VMS during night and day, and advanced measurement of symptoms and physiologic manifestations.

Sleep disorders in breast cancer survivors

“…Low thyroid-stimulating hormone 5.3 (2) that population making it difficult to compare findings with BCS [44]. This lack of prevalence data can be attributed to the fact that women are disproportionately included in sleep research and often underdiagnosed in the clinical setting [45].…”

Telephone-Based Cognitive Behavioral Therapy for Insomnia in Perimenopausal and Postmenopausal Women With Vasomotor Symptoms

“…Sleep complaints are a common and often bothersome menopausal symptom 1,2 which increase throughout the menopausal transition and early postmenopause. 3,4 Insomnia is associated with increased depression, impaired daytime function, reduced libido, and increased health care utilization, creating a substantial burden for women and society.…”

Instruments to study sleep disorders in climacteric women

“…Perimenopausal and postmenopausal women usually sleep less; they have more insomnia and more necessity of medication to sleep than those premenopausal ones [8]. However, they usually do not talk to their doctors voluntarily and the health providers do not ask about aspects related to it.…”

“…The clinical profile has been named sleep apnea syndrome or hypopnea and is frequent in women in middle-age; its symptoms are loud snoring, awakenings during sleep, reduction in the saturation of oxygen, to feel restless sleep and excessive daytime sleepiness. Severe episodes and the occurrence of SD for a long period have been associated with cardiovascular diseases [8], [44].…”

“…The prevalence of SD varies with the menopausal status, with estimated ranges between 39% and 47% in perimenopause and 35–60% in postmenopausal women [5], [7], [8]. In a study carried out in eleven cities from Latin America, which involved 6.079 women aged 40–59 years, insomnia was reported in 56.6% of the population, with poor quality of sleep or both [9].…”