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Clinical Management of Menopause-Related Sleep Disturbance

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Essentials of Menopause Management

Abstract

Sleep disturbances are common during the menopause transition. Women with vasomotor symptoms may be more at risk for insomnia, particularly if night sweats cause awakenings. Other sleep difficulties, such as difficulty with initiating sleep, and early morning awakening can also occur often in this population. Psychiatric disorders, involving depressive and anxiety symptoms, and medical issues such as obstructive sleep apnea, restless legs syndrome, and incontinence are also common in this population and can contribute to sleep difficulties. Any sleep disturbance, regardless of cause, can lead to daytime fatigue and can negatively impact functioning and quality of life, and therefore, identifying and treating insomnia in menopausal women is essential for their well-being. With many options of pharmacological and non-pharmacological treatments for insomnia, tailoring treatment to a patient’s particular sleep issue and preference is ideal. This chapter focuses on the assessment and treatment of insomnia in menopausal women utilizing typical clinical case examples.

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Acknowledgments

The writing of this chapter was funded in part by the National Institutes of Health Office of Research on Women’s Health (P50 MH099910), the National Institute for Mental Health (P50 MH099910), the National Institute on Aging (R01 AG030641), the National Institute on Drug Abuse (R01 DA03289 and K24 DA030301), and the National Institute for Diabetes Digestive and Kidney Disorders (U01 DK106892).

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Authors and Affiliations

  1. Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA

    Sarah B. Mathews MD

  2. Penn Center for Women’s Behavioral Wellness, Perelman School of Medicine at the University of Pennsylvania, 3535 Market Street, 3rd Floor, Philadelphia, PA, 19104, USA

    Sarah B. Mathews MD & C. Neill Epperson MD

  3. Departments of Psychiatry and Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA

    C. Neill Epperson MD

  4. Penn PROMOTES Research on Sex and Gender in Health, University of Pennsylvania, Philadelphia, PA, USA

    C. Neill Epperson MD

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  1. Sarah B. Mathews MD
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Correspondence to C. Neill Epperson MD .

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Editors and Affiliations

  1. Department of Obstetrics, Gynecology and Reproductive Sciences, Division of Reproductive Endocrinology and Infertility Yale School of Medicine, New Haven, Connecticut, USA

    Lubna Pal

  2. Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston, Massachusetts, USA

    Raja A. Sayegh

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Mathews, S.B., Epperson, C.N. (2017). Clinical Management of Menopause-Related Sleep Disturbance. In: Pal, L., Sayegh, R. (eds) Essentials of Menopause Management. Springer, Cham. https://doi.org/10.1007/978-3-319-42451-4_6

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