Sleep disturbances

Restful sleep is essential for health and well-being. Sleep disturbances may arise from many situational stresses, feeling anxious or sad, from illness or pain, related to night sweats or due to the environment (a nursing baby, a snoring partner or unpredictable noises in the neighborhood). Sleep plays an essential role in our circadian rhythm—around-the-clock timing related to eating, temperature, reproduction and all fundamental processes necessary for the health of all of our tissues.Natural progesterone helps sleep when given in therapy doses (300 mg at bedtime) by mouth as oral micronized progesterone (but not as progesterone cream or even vaginal progesterone). This sleep-inducing effect of progesterone has been proven in controlled trials in men as well as in menopausal women.Progesterone shortens the time to fall asleep, lessens night time awakening and increases total sleep time while not being addicting or causing morning “hangover” effects. After three months of taking progesterone women’s morning responses on a whole battery of memory and other brain tests were unchanged or improved compared to themselves when not on progesterone. In the first nights of taking progesterone, you can feel dizziness or “drunk” if you are awakened within an hour or two of taking it. And, if you are really behind on rapid-eye-movement sleep, you might feel like sleeping in to catch up when you first take progesterone. Finally, progesterone is safe from overdosing since it is the only sleep-promoting medicine that speeds rather than slowing or stopping breathing.

  • Mood Swings & Depression in Menopause

    I’m wondering if my mood shifts are perhaps due to menopause. I had my last period about nine months ago. So my question is this: would estrogen therapy also help with emotional stability or should I go for the anti-depressants?

  • What is Effective and Safe for Night Sweats in Women with Breast Cancer?

    I’m 47 and wringing the sheets every night with hot flushes. I went into menopause early because of chemotherapy for breast cancer and then had surgery to take out my uterus and ovaries because I have the bad gene (BRCA). I’m now taking the new drug that blocks estrogen production but is making my flushes worse. I’ve tried soymilk, tofu and all kinds of plant estrogens. I’m afraid of herbs because I’m told they may increase estrogen and therefore feed my cancer. And I’ve tried acupuncture-it helps about a week and then I need another treatment.

    Right now I’m fighting taking the newer anti-depressant my doctor prescribed-I’m not depressed. She says that medicine is what the Cancer Agency recommends for hot flushes. I asked my pharmacist and got a printout of its side effects-it causes sleep problems and loss of appetite. I already have them! And I’ve heard they are only likely to be 60-70% effective.

    My question is, can I try something that will help my night sweats without making me at risk my breast cancer will return? Or should I consider stopping the estrogen blocker-I don’t want to because, although it is making my flushes worse, it will prevent another bout of breast cancer. Or am I stuck feeling as wrung out as my sheets for the next dozen years?

  • What should I expect after early surgical menopause?

    I’m 47 and had my ovaries but not my uterus removed. However, following surgery I wasn’t told what to expect, if I needed to take hormones, or what I might experience. My GP was as vague as my gynecologist. I’m having 2-3 night sweats a week, my sleep is very interrupted and have 3-6 daytime hot flushes per week but all of these things are the same as before surgery. I even still have my usual libido and good vaginal lubrication. I thought I’d lose those with my ovaries. . . .

  • Perimenopause and Thyroid Problems—common and confusing

    When a perimenopausal woman feels tired, gains weight and has frozen-cold hands and feet, how can she tell if the cause is a low thyroid or perimenopause?

  • Why Does My Heart Feeling Like it is Doing Hurdles?

    I’m 46 years old, healthy and have never, ever had any heart trouble. However, three times in the last six months I’ve had to go to Emergency because my heart starts jumping and racing and I feel like I could black out. I’ve now seen two cardiologists who think they should do surgery to cut the electrical channels in my heart. But I’m young and healthy–my periods are even regular but I’m getting night sweats now and having much worse premenstrual symptoms, cramps and heavy periods. Please help! I’m scared.

  • Daily Perimenopause Diary©

    CeMCOR’s Daily Perimenopause Diary© is meant for perimenopausal women, including women with regular cycles who have hot flushes or night sweats. The Diary is available in both print and digital formats, with instructions provided. You will need the free Adobe Acrobat Reader to read and print the PDF of the Diary with instructions. We have…

  • Hot Flushes in Menopause

    I’m 55 years old now and 10 years since my last period yet I continue to have night sweats most nights. I thought I would outgrow it. Why haven’t I?