How are menstruation-related sleep disorders treated?

Updated: Jan 31, 2019
  • Author: Gila Hertz, PhD, ABSM; Chief Editor: Selim R Benbadis, MD  more...
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Answer

Generally, premenstrual insomnia disappears a few days after menstruation begins. For some women, however, the associated tension and irritability can result in lingering sleep problems and even in chronic insomnia. These women should pay attention to their sleep needs, maintain a regular sleep-wake schedule, avoid stress when possible, and eat a healthy diet.

Because of underlying circadian disturbances in women with premenstrual symptoms, evening bright-light therapy has been reported to be effective in preventing early morning awakening in women with this complaint.

Women diagnosed with PMDD are more susceptible to major depressive disorder when their condition goes untreated. Studies have shown that, like patients with major depression, women with PMDD respond to treatment that incorporates sleep deprivation. Total and partial sleep deprivations have been shown to effectively reduce depressive symptoms, although these methods still are considered experimental.


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