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Schlafstörungen in der Gynäkologie: Kindheit, Jugend, Fruchtbarkeit

Sleep disorders in gynecology: childhood, adolescence, fertility


Guter Schlaf ist bestimmend für körperliche und seelische Gesundheit. Schlaf wird durch ein komplexes Zusammenspiel psychischer, neurophysiologischer und endokrinologischer Faktoren gesteuert. Die menschliche Reproduktion bedingt eine besondere weibliche Physiologie und Endokrinologie, die mit dafür verantwortlich ist, dass Frauen anders schlafen als Männer. Schon in Kindheit, Jugend und jungem Erwachsenenalter zeigen sich charakteristische Besonderheiten des weiblichen Schlafs. Melatonin als wichtiges schlafregulierendes Hormon interagiert mit weiblichen Sexualhormonen. Schlaf ist zyklusabhängig und hat Einfluss auf die Fruchtbarkeit. Wissen um die spannenden und interessanten Besonderheiten des weiblichen Schlafs in der ersten Lebenshälfte und die Integration von psychologischen, schlafmedizinischen und chronobiologischen Faktoren in die frauenärztliche Versorgung kann der Entwicklung von Schlafstörungen vorbeugen.


Good sleep quality has a high impact on physical and mental health. Sleep is controlled through complex interactions of psychological, neurophysiological and endocrinological factors. Human reproduction induces a special female physiological and endocrinological status which means that women sleep differently to men. These differences are already present in childhood, adolescence and young adulthood and gain significance in the reproductive phase of life. The female sex hormones interact with the important sleep-regulating hormone melatonin. Sleep is modified by the menstrual cycle and modulates fertility. Knowledge about the fascinating and interesting distinctive features of women’s sleep in the first half of life and the integration of psychological, chronobiological and sleep medical factors into gynecological patient care can avoid the development of sleep disorders.

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Correspondence to Werner Cassel.

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W. Cassel erhält Vortrags- und Autorenhonorare von der Medice Arzneimittel Pütter GmbH und Vortragshonorare und Honorare für Beratungstätigkeiten von der Vanda Pharmaceuticals Deutschland GmbH. Vorträge außerdem für: Das Fortbildungskolleg Gesellschaft für medizinische Fortbildung mbH, Niederrheinnetzwerk e.G., Dialog Service GmbH, Polizeiakademie Hessen, STiL Forschungs GmbH, Ferrero OHG mbh, Kompetenznetz Osteologie Pfalz e.V., Interdisziplinäre Osteologisches Kompetenznetz (IOKN) Saar e.V., Softconsult Marburg, Frankfurter Rotkreuz Kliniken e.V. P. Cassel gibt an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Cassel, W., Cassel, P. Schlafstörungen in der Gynäkologie: Kindheit, Jugend, Fruchtbarkeit. Gynäkologe 54, 704–712 (2021).

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  • Zirkadianer Rhythmus
  • Melatonin
  • Stress
  • Seelische Gesundheit
  • Reproduktion


  • Circadian rhythm
  • Melatonin
  • Stress
  • Mental health
  • Reproduction