The Mechanism and Coping Strategies of Sleep Disturbance during Perimenopause

Abstract

Many women suffer from menopausal symptoms, especially the sleep disturbances, which is harmful to health and living standard. This review aims to provide the information about mechanism of how lacking estrogen and progesterone affects the sleeping quality. Estrogen can control body temperature, regulation of cortisol and depression and progesterone have impact on nervous system and breathing. Those impacts play pivotal role in sleeping quality, so that understanding the mechanism is extremely useful for establishing effective treatment. Also, the review provides the corresponding treatment, including hormone therapy, CBTI, and aerobic exercise. Overall, hormone therapy supplies the deficient hormone directly, which is the most effective method for treating perimenopausal sleep disorders, CBTI is a non-pharmacological approach, and aerobic exercise offers additional benefits for sleep and general health. Further research is warranted to compare the results of different treatments in the long term and to make some plans for more Individualized treatment which can be more effective and lead to better outcomes.