Abstract
Across the life cycle of women, the quality and quantity of sleep can be markedly impacted by both internal (hormonal changes, vasomotor symptoms) and external (financial, child care) factors. This chapter outlines some of the major phases of the adult life cycle in women associated with sleep problems. The main messages from this chapter include (1) that sleep disturbance and sleep disorders are common in women and increase across the lifespan for a variety of reasons; (2) once identified, the sleep problem is generally best addressed by the standard therapeutic approach, although special cases arise in pregnant and lactating women due to concern for the fetus and child; and (3) little systematic, large-scale research has been performed in virtually every area reviewed. This chapter is organized into sections that address sleep problems associated with the menstrual cycle, pregnancy, postpartum, and the perimenopause.
Anecdotal reports recommend treatment that addresses specific physical discomforts experienced by the woman (analgesics for premenstrual pain, pregnancy pillows for backache, hormone replacement therapy for hot flashes). The importance of developing standard treatment recommendations is stressed, since the development of chronic insomnia has been linked to precipitating events. In addition, primary sleep disorders (sleep apnea, restless legs syndrome) increase during pregnancy and menopause, but certain treatment recommendations may be contraindicated or are not specific for women.
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Acknowledgment 
The authors would like to thank Dr. Rochelle Zak, who was a coauthor on the previous version of this chapter.
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Moline, M., Broch, L. (2013). Life Cycle Impact on Sleep in Women. In: Attarian, H., Viola-Saltzman, M. (eds) Sleep Disorders in Women. Current Clinical Neurology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-324-4_4
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