Is insomnia a symptom of menopause HD
Is insomnia a symptom of menopauseé One of the other hallmarks of menopause isinsomnia. Women come in and say, â€œI haven't slept in 5 days. I promise you; I have watchedthe clock all night.â€� What happensé What changesé What makes you not be able to sleepéIs it stressé Is it the changes that happen in your life at this ageé There is a wholegamut of reasons that our stress levels increase in midlife. One of the things that patientstell me is that they can't shut their heads off. How do we fix thisé Well, the first thingis good sleep hygiene. Have a good routine before you go to bed. You should only useyour bedroom for sleep or sex. It is not a
good idea to watch television. It may evenbe a good idea to not read in bed. Many sleep s tell you to have a very finite routinethat gets you ready for bed, gets you in bed, get under the covers, and go to sleep. Ifyou get into that routine regularly, your body will associate that routine with fallingasleep. Now, if you tell a menopausal woman that who hasn't slept in 5 days, you aregoing to get a bad look. Because she knows that that may not happenâ€¦or it may takea very long time for that to happen. So what can we doé I recommend first some lifestylechanges. Something warm in your tummy such as hot tea, warm milk, or maybe some hot chocolate.Something that calms you down, something that
is comforting to you â€“ maybe that you rememberas a child. There are some medications that can help you sleep. We really do not likewomen â€“ or men â€“ to get in the habit of taking a sleep aid to go to sleep; you canbecome dependent on it. Some of these drugs are hypnotics and they may make you do thingsthat you may not remember. You may not really be in a fully lucid state and you may notknow what you are doing. I do use some of these sleep aids in women. I try to get themto do a sleep study first from a professional sleep therapist of a pulmonologist who istrained in sleep hygiene and sleep medicine. Once they have done that workup, and it appearsthat they would benefit from these sleep aids,
I will give them a very low dose. I feel thatthe normal starting adult dose for sleep aids is too high. I give patients a half dose,and then I try to get them to make it last for several days. They just bite off a littlepiece of the half dose. They usually find that if they can get to sleep, they can stayasleep. For women who can get to sleep, but who can't stay asleep and find themselveswaking up in the middle of the night, and can't get back to sleep, there are somelongacting sleep aids that are released slowly throughout the night so that you can stayasleep. I really would like patients to try some of the over the counter sleep aids first.Some of these are Tylenol PM or Advil pm.
These drugs incorporate an antihistamine inthem and it is just enough to get your head to shut off so that you can fall asleep. Ithink that all of these regimens should be individualized to each patient. Each patientneeds to be worked up appropriately and you need to talk to your about what sleepaid is right for you.