Skip to main content

Women’s Health and Sleep Disorders

  • Chapter
  • First Online:
Sleep Medicine
  • 2973 Accesses

Abstract

This chapter reviews the development of knowledge related to women’s sleep and highlights key milestones associated with reproductive phases during the lifespan. These phases include menstruation, pregnancy, and menopausal transition. Historical perspectives on women’s sleep during these three phases are presented. Selected sleep disorders associated with the menstrual cycle and pregnancy are discussed from a historical perspective. The chapter concludes with a discussion of developments in knowledge about sleep during menopausal transition. Sleep studies of menopausal women who experience vasomotor symptoms of hot flashes and night sweats are described, and how hormone replacement therapy affected sleep is discussed. Early studies of women’s sleep were typically descriptive designs with small samples of healthy women, and excluded women with any unhealthy lifestyle characteristics such as smoking, alcohol, and caffeine intake, or being overweight. Findings were difficult to generalize to the population of women regardless of age or reproductive status. Sleep research today can be less invasive, and larger samples of women can be recruited from the general population to study risk factors for sleep disorders, such as sleep apnea, that were rarely seen in the healthy samples studied in earlier research.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lee KA, Shaver JF, Giblin EC, Woods NF. Sleep patterns related to menstrual cycle phase and premenstrual affective symptoms. Sleep. 1990;13(5):403–9.

    Google Scholar 

  2. Lee K, Taylor DL. Is there a generic midlife woman? The health and symptom experience of midlife women. Menopause. 1996;3(3):154–64.

    Article  Google Scholar 

  3. Kawakami M, Sawyer CH. Effects of sex hormones and antifertility steroids on brain thresholds in the rabbit. Endocrinology. 1967;80(5):857–71.

    Google Scholar 

  4. Erlik Y, Tataryn IV, Meldrum DR, Lomax P, Bajorek JG, Judd HL. Association of waking episodes with menopausal flushes. JAMA. 1981;245(17):1741–4.

    Google Scholar 

  5. Karacan I, Williams RL, Hursch CJ, McCaulley M, Heine MW. Some implications of the sleep patterns of pregnancy for postpartum emotional disturbances. Br J Psychiatry. 1969;115(525):929–35.

    Google Scholar 

  6. Papy JJ, Conte-DeVolx B, Sormani J, Porto R, Guillaume V. The periodic hypersomnia and megaphagic syndrome in a young female, correlated with menstrual cycle. Rev Electroencephalogr Neurophysiol Clin. 1982;12(1):54–61.

    Google Scholar 

  7. Wolfson AR, Crowley SJ, Anwer U, Bassett JL. Changes in sleep patterns and depressive symptoms in first-time mothers: last trimester to 1-year postpartum. Behav Sleep Med. 2003;1(1):54–67.

    Article  PubMed  Google Scholar 

  8. Lee KA, Zaffke ME, McEnany G. Parity and sleep patterns during and after pregnancy. Obstet Gynecol. 2000;95(1):14–8.

    Google Scholar 

  9. Brownell LG, West P, Kryger MH. Breathing during sleep in normal pregnant women. Am Rev Respir Dis. 1986;133(1):38–41.

    Google Scholar 

  10. Wilke G, Shapiro CM. Sleep deprivation and the postnatal blues. J Psychosom Res. 1992;36(4):309–16.

    Google Scholar 

  11. Selye H. Acquired adaptation to the anesthetic effect of steroid hormones. J Immunol. 1941;41(3):259–68.

    CAS  Google Scholar 

  12. Williams RL, Karacan I, Hursch CJ. Electroencephalography (EEG) of human sleep: clinical applications. New York: Wiley; 1974.

    Google Scholar 

  13. Henderson A, Nemes G, Gordon NB, Roos L. The sleep of regularly menstruating women and of women taking an oral contraceptive. Psychophysiol Abstract. 1970;7:337.

    Google Scholar 

  14. Ho A. Sex hormones and the sleep of women. Sleep Res. 1972;1:184.

    Google Scholar 

  15. Freedman RR, Roehrs TA. Lack of sleep disturbance from menopausal hot flashes. Fertil Steril. 2004;82(1):138–44.

    Google Scholar 

  16. Herrmann WM, Beach RC. Experimental and clinical data indicating the psychotropic properties of progestogens. Postgrad Med J. 1978;54(Suppl. 2):82–7.

    Google Scholar 

  17. McKenna JJ, Mosko S, Dungy C, McAninch J. Sleep and arousal patterns of co-sleeping human mother/infant pairs: a preliminary physiological study with implications for the study of sudden infant death syndrome (SIDS). Am J Phys Anthropol. 1990;83(3):331–47.

    Google Scholar 

  18. Blumer D, Migeon C. Hormone and hormonal agents in the treatment of aggression. J Nerv Ment Dis. 1975;160(2–1):127–37.

    Article  CAS  PubMed  Google Scholar 

  19. Goyal D, Gay C, Lee K. Fragmented maternal sleep is more strongly correlated with depressive symptoms than infant temperament at three months postpartum. Arch Womens Ment Health. 2009;12(4):229–37.

    Google Scholar 

  20. Diagnostic Classification of Sleep and Arousal Disorders: DCSAD. Sleep. 1979 Autumn 2(1):1–154.

    Google Scholar 

  21. Yokoyama A, Ramirez VD, Sawyer CH. Sleep and wakefulness in female rats under various hormonal and physiological conditions. Gen Comp Endocrinol. 1966;7(1):10–7.

    Article  Google Scholar 

  22. Komisaruk BR, McDonald PG, Whitmoyer DI, Sawyer CH. Effects of progesterone and sensory stimulation on EEG and neuronal activity in the rat. Exp Neurol. 1967;19(4):494–507.

    Google Scholar 

  23. Freedman RR, Roehrs TA. Effects of REM sleep and ambient temperature on hot flash-induced sleep disturbance. Menopause. 2006;13(4):576–83.

    Google Scholar 

  24. Little BC, Matta RJ, Zahn TP. Physiological and psychological effects of progesterone in man. J Nerv Ment Dis. 1974;159(4):256–62.

    Article  CAS  PubMed  Google Scholar 

  25. Williams RL, Agnew HW Jr, Webb WB. Sleep patterns in the young adult female: an EEG study. Electroencephalogr Clin Neurophysiol. 1966;20(3):264–6.

    Article  CAS  PubMed  Google Scholar 

  26. Billiard M, Guilleminault C, Dement WC. A menstruation-linked periodic hypersomnia. Kleine-Levin syndrome or new clinical entity? Neurology. 1975;25(5):436–43.

    Article  CAS  PubMed  Google Scholar 

  27. Manber R, Armitage R. Sex, steroids, and sleep: a review. Sleep. 1999;22(5):540–55.

    Google Scholar 

  28. Purdie DW, Empson JA, Crichton C, McDonald L. Hormone replacement therapy, sleep quality and psychological well-being. Br J Obstet Gynaecol. 1995;102(9):735–9.

    Google Scholar 

  29. Selye H. Anesthetic effect of steroid hormones. Exp Biol Med. 1941;46(1):116–21.

    Article  CAS  Google Scholar 

  30. Young T, Rabago D, Zgierska A, Austin D, Laurel F. Objective and subjective sleep quality in premenopausal, perimenopausal, and postmenopausal women in the Wisconsin Sleep Cohort Study. Sleep. 2003;26(6):667–72.

    PubMed  Google Scholar 

  31. Freedman RR, Roehrs TA. Sleep disturbance in menopause. Menopause. 2007;14(5):826–9.

    Google Scholar 

  32. Kleitman N, Mullin FJ, Cooperman NR, Titelbaum S. Sleep characteristics: how they vary and react to changing conditions in the group and the individual. Chicago: University of Chicago Press; 1937.

    Google Scholar 

  33. Woodward S, Freedman RR. The thermoregulatory effects of menopausal hot flashes on sleep. Sleep. 1994;17(6):497–501.

    CAS  PubMed  Google Scholar 

  34. American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders: DSM-IV. 4th ed. Washington, DC: American Psychiatric Association; 1994.

    Google Scholar 

  35. Baker FC, Sassoon SA, Kahan T, Palaniappan L, Nicholas CL, Trinder J, Colrain IM. Perceived poor sleep quality in the absence of polysomnographic sleep disturbance in women with severe premenstrual syndrome. J Sleep Res. 2012;21(5):535–45.

    Article  PubMed Central  PubMed  Google Scholar 

  36. Driver HS, Shapiro CM. A longitudinal study of sleep stages in young women during pregnancy and postpartum. Sleep. 1992;15(5):449–53.

    Google Scholar 

  37. Harlow SD, Gass M, Hall JE, Lobo R, Maki P, Rebar RW, Sherman S, Sluss PM, de Villiers TJ, STRAW +10 Collaborative Group. Executive summary of the stages of reproductive aging workshop +10: addressing the unfinished agenda of staging reproductive aging. Fertil Steril. 2012;97(4):843–51.

    Google Scholar 

  38. Hartmann E. Dreaming sleep (the D-state) and the menstrual cycle. J Nerv Ment Dis. 1966;143(5):406–16.

    Article  CAS  PubMed  Google Scholar 

  39. Shaver J, Giblin E, Lentz M, Lee, KA. Sleep patterns and stability in perimenopausal women. Sleep. 1988;11(6):556–61.

    CAS  PubMed  Google Scholar 

  40. Hertz G, Fast A, Feinsilver SH, Albertario CL, Schulman H, Fein AM. Sleep in normal late pregnancy. Sleep. 1992;15(3):246–51.

    Google Scholar 

  41. Doan T, Gardiner A, Gay CL, Lee KA. Breast-feeding increases sleep duration of new parents. J Perinat Neonatal Nurs. 2007;21(3):200–6.

    Google Scholar 

  42. Coble PA, Reynolds CF, 3rd, Kupfer DJ, Houck PR, Day NL, Giles DE. Childbearing in women with and without a history of affective disorder. II. Electroencephalographic sleep. Comprehensive psychiatry. 1994;35(3):215–24.

    Google Scholar 

  43. Merryman W, Boiman R, Barnes L, Rothchld I. Progesterone “anaesthesia” in human subjects. J Clin Endocrinol Metab. 1954;14(12):1567–9.

    Google Scholar 

  44. Mokhlesi B, Scoccia B, Mazzone T, Sam S. Risk of obstructive sleep apnea in obese and nonobese women with polycystic ovary syndrome and healthy reproductively normal women. Fertil Steril. 2012;97(3):786–91.

    Google Scholar 

  45. Montgomery-Downs HE, Clawges HM, Santy EE. Infant feeding methods and maternal sleep and daytime functioning. Pediatrics. 2010;126(6):e1562–8.

    Google Scholar 

  46. Montgomery-Downs HE, Insana SP, Clegg-Kraynok MM, Mancini LM. Normative longitudinal maternal sleep: the first 4 postpartum months. Am J Obstet Gynecol. 2010;203(5):465, e1–7.

    Google Scholar 

  47. Montplaisir J, Lorrain J, Denesle R, Petit D. Sleep in menopause: differential effects of two forms of hormone replacement therapy. Menopause. 2001;8(1):10–6.

    Google Scholar 

  48. Nillni YI, Toufexis DJ, Rohan KJ. Anxiety sensitivity, the menstrual cycle, and panic disorder: a putative neuroendocrine and psychological interaction. Clin Psychol Rev. 2011;31(7):1183–91.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kathryn A. Lee .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Lee, K. (2015). Women’s Health and Sleep Disorders. In: Chokroverty, S., Billiard, M. (eds) Sleep Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2089-1_53

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-2089-1_53

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2088-4

  • Online ISBN: 978-1-4939-2089-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics