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Menopause and Sleep

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Key points

  • Disrupted sleep during menopause is common; alterations in oestrogen and progesterone are contributing factors
  • Hot flushes and night sweats can cause sleep disturbance; treatment of vasomotor symptoms may help sleep consolidation
  • Sleep disordered breathing including snoring, and obstructive sleep apnoea (OSA) is more frequent in post-menopausal women
  • Consider lifestyle modifications such as reducing alcohol and caffeine intake in the afternoon
  • Cognitive behavioural therapy should be considered if vasomotor symptoms are treated and there are no other sleep disorders

One of the most common, and often frustrating, changes that many women experience during menopause is disrupted sleep. This can be experienced as difficulty getting to sleep initially, waking up at night or waking earlier than preferred. Some sleep disorders can also be more common during or after menopause which can also contribute to disrupted sleep. Understanding normal sleep, how menopause can affect sleep, recognising these changes, and how these might be managed can be useful to maintaining good quality sleep during this transition.