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09.10.2014

Sleeplessness and menopause, ringing in ears bipolar - PDF Review

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Scientists have, in recent years, begun to unravel the complex relationship between sleeplessness and menopause.
Sleep disturbances can affect health and well-being in numerous ways, so it is an issue that should not be ignored. Adjusting your diet and lifestyle to meet your body's changing needs can often help with sleeplessness, and menopause symptoms in general. Getting more exercise can often improve sleep during menopause, since physical activity triggers an increase of endorphins in the brain, chemicals that improve mood and reduce stress and anxiety. For women who do not find relief with dietary changes and exercise, restoring the body's natural hormonal balance may be the most effective means of addressing sleeplessness and menopause. So if you're suffering with frequent sleep issues that are making your transition into the menopausal phase of life more difficult than it should be, talk to your doctor about BHRT (also known as Bioidentical Hormone Replacement Therapy or Natural Hormone Replacement Therapy).
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. According to a study from Northwestern University, regular aerobic exercise can improve the quality of your sleep, mood, and vitality. To ward off hot flashes and night sweats, make sure the temperature in your bedroom is comfortable and low. If anxiety during menopause is keeping you awake at night, try a relaxation technique such as meditation, yoga, or deep breathing to de-stress. You may be tempted to stay up late during the week and then catch up on rest over the weekend, but sticking to the same schedule every night is more conducive to getting quality sleep.
Chronic insomnia can contribute to heart disease, high blood pressure, and other lasting medical conditions. Hormonal changes associated with menopause may leave the menopausal woman sleepless or sleep disturbed.
Here are some things you can do to help yourself sleep better–even if you are experiencing menopausal symptoms. If you work nights and must drive home during daylight hours, then wear dark sunglasses on your way home to bed.


If you need a quick pick-me-up (as when driving), caffeine will help wake you up and perform better. According to the National Sleep Foundation, approximately 61 percent of women who are in perimenopause or menopause report insomnia symptoms, 75 to 85 percent suffer hot flashes that can lead to sleep disturbances, and snoring becomes more common and severe in post-menopausal women. Among the findings that have emerged, according to a 2005 article published in the “Journal of Clinical Sleep Medicine,” is that melatonin and estrogen interact in complicated ways, each supporting the function of the other to some degree.
When levels of this hormone drop, as happens during menopause, deep sleep is more difficult.
Limiting your intake of caffeinated beverages and alcohol can reduce he frequency and intensity of sleep disturbing hot flashes and night sweats, as can lowering your intake of sugary or fatty foods, replacing them with a more generous intake of fresh fruits and vegetables.
Natural hormone replacement therapy has proven the safest and most effective way to regain that balance.
Insomnia and sleep disturbances caused by hot flashes leave many menopausal women tossing and turning or waking up drenched in sweat. In fact, according to the National Sleep Foundation, 61 percent of perimenopausal and postmenopausal women report frequent bouts of insomnia. 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.
Wear breathable cotton sleepwear, whether you prefer pajamas or a nightgown, and choose cotton sheets over synthetic materials.
View all.ConnectDon't miss out on breaking news, live chats, lively debates, and inspiring stories. But if you are being overwhelmed by your sleeplessness and are not helped by any of the tactics listed above, please discuss possible treatment options with your healthcare provider. The underlying cause of these issues is hormonal changes that occur during the perimenopausal and menopausal periods, and there are a number of ways to improve your sleep during menopause, ranging from dietary and lifestyle changes to hormone replacement. This means that fluctuating levels of estrogen in the body during menopause can affect melatonin levels, a hormone that essential to the maintenance of healthy sleep patterns.
Over the long-term, poor sleep patterns can increase depression risk, impair the immune system, trigger unexplained weight gain and contribute to the development of chronic health conditions, such as hypertension, heart disease, arthritis and fibromyalgia, among others. BHRT uses natural, plant-based hormones that are an exact match to those produced by the body, and they are prescribed in a personalized formulation for each patient, determined by hormone level testing and a thorough medical evaluation.


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. When they strike during the night, they can wreak havoc on sleep, explains Michael Decker, PhD, RN, an associate professor of nursing and a sleep disorder specialist at Georgia State University in Atlanta.
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. Join the conversation!Free NewslettersPersonalized tips and information to get and stay healthier every day. And a sleep deficit poses risks because it decreases or dulls one’s cognitive functioning. It's also important to note that if you wake during the night and turn on a light, melatonin production shuts down for the remainder of the night.
Additionally, sleeplessness and menopause is an issue that can have a dramatic effect on a woman's quality of life and increase the intensity of other troublesome menopausal symptoms. If menopause symptoms continually keep you up at night, make an appointment to see your doctor. If you're having trouble sleeping and can't maneuver through the house or bathroom in the dark, try using red night lights. 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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