Published: 2017-05-25

Sleep disorders in menopausal women

Abha Singh, Abha Daharwal, Avinashi Kujur


Background: Sleep disturbance is one of frequent sign and symptom encountered in post-menopausal women. It affects the quality of the life and may lead to depression in some women. Objective of present study was to find out the prevalence of sleep disorder in post-menopausal women

Methods: Prospective study done on the post-menopausal women coming to Gynaecology OPD of Dr Bheem Rao Ambedkar Hospital, Raipur. This study was a prospective cross sectional observational study, conducted in the outpatient department of Obstetrics and Gynecology from 1st August 2016 to 31st January 2017. It included 500 women of postmenopausal age. A detail Performa was provided to assess sleep patterns and disorders associated with it. All the data was analysed using chi square test

Results: The prevalence of sleep disturbances was 29.58%. Home makers were affected more in comparison to working women, 71,43% women had problems in initiating sleep. About 2/3rd women in the study group developed insomnia within 5 years of menopause, whereas 1/3rd took more than 7years to develop insomnia. Co morbidities were present in 48% women. Our women have mean age of menopause around 45 years.

Conclusions: Sleep disorders are common, with prevalence of 29.5% in menopausal women in present study. It significantly causes psychosocial problems in women. There is need for it to be asked for and to be treated promptly.


Co-morbidities, Insomnia, Postmenopausal women, Sleep disturbances

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Loachmescu OC. Contemporary sleep medicine for physicians. Publisher Bentham Science. 2011:14-40.

Bittencourt LR, Santos-Silva R, Taddei JA, Andersoen ML, de Mello MT, Tufik S. Sleep complaints in the adult Brazilian population: a national survey base on screening questions. Clin Sleep Med. 2009;5(5):459-63.

Eichling PS, Jyotsana Sahni J. Menopause related sleep disorders. J Clin Sleep Med. 2005;1(3):291-300.

Young T, Rabago D, Zgerske A, Austin D, Laurel F. Objective and subjective sleep quality in premenopausal, perimenopausal and postmenopausal women in Wisconsin Sleep Cohort Study. Sleep. 2003;26:667-72.

Kravitz HM, Ganz PA, Bromberger J, Powell LH, Sutton-Tyrrell K, Meyer PM. Sleep difficulty in women at midlife: a community survey of sleep and the menopausal transition. Menopause. 2003;10(1):19-28.

Juang KD, Wang SJ, Lu SR, Lee SJ, Fuh JL. Hot flashes are associated with psychological symptoms of anxiety and depression in peri-and post-but not premenopausal women. Maturitas. 2005;52(2):119-26.

Kroneuberg F. Menopausal hot flashes: a review of physiology and bio sociocultural perspective on method of assessment. J Nutr. 2010;140:1380s-5s.

Thurston RC, Chang Y, Mancuso P, Matthews KA. Adipokines, adiposity, and vasomotor symptoms during the menopause transition: findings from the Study of Women's Health Across the Nation. Fertil Steril. 2013;100(3):793-800.

Joffe H, Massler A, Sharkey KM. Evaluation and management of sleep disturbance during the menopause transition. In Seminars in Reprod Med. 2010;28:404-21.

Kravitz HM, Zheng H, Bomberger JT, Buysee DJ, Owens J, Hall MH. An actigraphy study of sleep and pain in midlife women: the study of Women’s Health across nation sleep study. Menopause. 2015;22:710-8.

Hunter M, Battersby R, Whitehead M. Relationships between psychological symptoms, somatic complaints and menopausal status. European Menopause J. 1986;8(3)217-28.