At menopause, ovaries of the women stop working
The production of both hormones is affected: that of estrogen drops and progesterone ceases completely. This major evolution for woman leads to profound changes in physiological, including one of the most common is the degradation of the sleep. Nocturnal awakenings, light sleep, less restful: many women see their lives disrupted, when they are still very active. “With the hot flushes, bad sleep, this is the complaint that comes up the most often,” confirms the Pr Florence Trémollières, at the head of the center for menopause at the hospital Paule-de – Viguier (Toulouse university hospital).
Menopause can be accompanied by various symptoms which may alter any of the nights: the hot flashes, of course, but also sweating a lot at night, anxiety, depression, urinary disorders or sexual, joint pain..
.. The age is also, in itself, a factor of insomnia.
Fortunately, there are solutions. In perimenopause, when the menstrual cycles become irregular, the doctor may suggest the natural progesterone. “Its structure is exactly the same as the one produced by the ovary,” explains the Pr Trémollières. It acts on receptors in the central nervous system, the receptors of Gaba, which put the brain at rest.
The same aim of sleeping pills hypnotics. ” There is a difference in size: while the pills reduce the proportion of slow wave sleep, very restful, in the night, the progesterone lies. Result: you wake up in much better shape. ” READ ALSO – Senior: from what age does one part of the club? Of therapy very utilesPlus later, when the onset of menopause (defined by a whole year without menses), the gynecologist may propose hormone treatment (THM), composed of a gel or patch releases estrogen through the skin, and progesterone by the oral route.
“The treatment works very well, especially in the beginning of menopause, explains the Pr Trémollières. The problem is its acceptance by patients since the publication of an american study in 2002, and assigning to an increase in the risk of cardio-vascular and breast cancer, has done much harm. ” And even if, since, the weak points of these works have been identified, the THM has kept a bad reputation. “About 30 % of women are very embarrassed by their symptoms, less than 10% are treated, ” says Dr. . Gabriel André, gynaecologist, vice-chairman of the study Group on menopause and aging hormone (Gemvi). It is not a question of prescribing the same thing to everyone, but at least to relieve insomnia, and hot flashes. However, the women are so frightened by the hormones they no longer think of having this choice.
“Women who don’t want to take hormonal treatment, or who can’t because they have had breast cancer or endometrial cancer, may try to improve their sleep by changing their lifestyle: increase physical activity, stop smoking, reduce exciting, and even lose weight-promote better sleep. Some therapy such as acupuncture, yoga, or relaxation therapy may also be considered, their efficacy vary from one person to another. In any case, Florence Trémollières invites you to take sleep disorders seriously. “They have an impact on the memory and deteriorating cognitive functions, which may increase the risk of dementia.