Sleep During Menopause

Sleep Med Clin. 2023 Dec;18(4):423-433. doi: 10.1016/j.jsmc.2023.06.004. Epub 2023 Jul 16.

Abstract

Postmenopause is defined retrospectively after 12 consecutive months of amenorrhea. It represents the end of the reproductive period and ovarian failure. A decrease in estrogen leads to several changes in the short and long term. Among the early changes, vasomotor symptoms (hot flashes) are particularly common, occurring in about 70% of women. In addition, there are changes in mood, anxiety, depression, and insomnia. Insomnia occurs in almost 60% of postmenopausal women. Psychosocial aspects may also affect sleep. Proper diagnosis may lead to adequate treatment of sleep disturbances during menopause. Hormonal or other complementary therapies can improve sleep quality.

Keywords: Hormonal therapy; Hot flashes; Insomnia; Menopause; Obstructive sleep apnea; Postmenopause; Premenopause; Sleep.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Menopause
  • Postmenopause
  • Retrospective Studies
  • Sleep
  • Sleep Initiation and Maintenance Disorders* / diagnosis
  • Sleep Initiation and Maintenance Disorders* / therapy