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02.03.2014

Help for menopause sleeplessness, fatigue loss of appetite weight gain - For You

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When you’re making your journey through menopause, sleeping through the night may seem like an impossible dream. Sleep disturbances are extremely prevalent and a challenging problem for midlife women, says Steven Goldstein, MD, professor of obstetrics and gynecology at New York University School of Medicine and president of the board of the North American Menopause Society. If menopause symptoms such as hot flashes are waking you up night after night, turning down the heat can restore your sleep, Goldstein says. If anxiety during menopause is keeping you awake at night, try a relaxation technique such as meditation, yoga, or deep breathing to de-stress.
Insomnia and sleep disturbances caused by hot flashes leave many menopausal women tossing and turning or waking up drenched in sweat. Fluctuating levels of estrogen and progesterone that occur during perimenopause and menopause can cause hot flashes in about 85 percent of American women.


Hormone replacement therapy (HRT) remains the gold standard in treating moderate to severe hot flashes and other menopause symptoms, but not everyone is a candidate for it. He explains that sometimes the cause is hormonal changes related to menopause, and sometimes the problem is another age-related health condition such as incontinence or joint pain. Women who are at high risk for breast cancer or have a history of blood clots and certain other medical conditions should not take HRT.
If menopause symptoms continually keep you up at night, make an appointment to see your doctor. If you wake up because of hot flashes (or for another reason), don’t torture yourself by lying awake in bed. And if you weren’t a great sleeper to begin with, entering menopause can make insomnia even worse.


Low-dose antidepressants such as fluoxetine (Prozac) may be effective, and for perimenopausal women, low-dose combination birth control pills may control hot flashes and even out irregular periods. It’s another possible hot flash trigger, and while it may initially relax you and help you fall asleep, it will likely make it hard for you to stay asleep.
And try to get outside to soak up some sun for about 30 minutes a day (with sun protection) — exposure to daylight translates to better sleep patterns.



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