How To Tackle Sleep Concerns In Peri-And Post-Menopausal Women

Sleep concerns represent a common symptom of menopause, affecting approximately half of women during perimenopause and postmenopause. Often, sleep difficulties increase throughout the menopausal transition, particularly when not assessed and treated early on. Recent Canadian data highlights an increased risk among women for insomnia, more daytime sleepiness, and elevated rates of sleep-related conditions such as obstructive sleep apnea (OSA), REM sleep behaviour disorder, and restless leg syndrome. The etiology of poor sleep in this population is multi-factorial. While vasomotor symptoms (VMS) such as hot flashes and night sweats contribute to sleep disturbance, other contributing factors include hormonal changes, comorbidities, chronic pain, and age-related changes in circadian rhythm. A range of helpful options are available, including lifestyle and behavioural approaches and pharmacotherapy, which can ameliorate sleep quality to improve the lives of women during this important transition and thereafter.