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Sleepless in Seattle....and New York....and Chicago...and
EVERYWHERE!: Coping with Insomnia
Its definitely not fun! Right when you could use
sleep the most -- due to all the physical and emotional symptoms of early menopause -- you
cant sleep. Maybe its night sweats keeping you up, or maybe its
just plain old insomnia....but whatever the reason, youre lying in bed, tossing and
turning, staring at the ceiling in the dark, and wishing that youd fall asleep.
Insomnia is one of the more typical menopausal symptoms,
unfortunately. In the past, it was generally believed that insomnia was a result of night
sweats. You couldnt sleep because night sweats were waking you up.....and keeping
you awake. But recent studies now have found that you can have insomnia that isnt
related to sweats. It may be connected with the drop in the brain chemical serotonin
that occurs when your estrogen levels decline. Or it could simply occur due to the changes
in your hormones. Whatever the reason, theres no question that with menopause comes
insomnia. Its usual for the frequency of insomnia to double from what you
used to experience when you were premenopausal. And studies have shown that women usually
begin to experience restless sleep as much as five to seven years before menopause hits.
It winds up being a bit of a vicious circle. When
youre not getting enough sleep, you usually wind up getting more stressed, moodier
and more irritable -- which, as we all know, are symptoms we often get when our hormone
levels are dropping. The culprit is the lack of REM sleep -- the deepest, most
rejuvenating sleep. Without good REM sleep, you get more stressed out....which makes you
more prone to insomnia...which makes you more stressed....and so on.
So how can you stop tossing and turning and get the sleep
you need? Usually getting on the right combo of hormone replacement can banish insomnia,
since it will stabilize your hormone levels. Similarly, herbs, vitamins and phytoestrogens
that help with menopausal symptoms often can make a difference. In addition, disturbed
sleep patterns typically level off after a few years. But, since you probably dont
want to wait a few years for a good nights sleep, there are other things that can
help. Here are some ideas on what you can do right now to help you sleep....and
some ideas for long term improvement.
What Can You Do RIGHT NOW To Get Some Sleep?
- Drink a cup of chamomile tea. Its calming,
soothing and just might help you get a little shut-eye.
- Try a cup of warm milk. Its one of those
tried-and-true remedies....and it can help a great deal! Warm milk has the amino acid tryptophan
in it -- which acts as a mild tranquilizer. Its even more effective if you have some
carbos (toast or crackers, for example) with your milk.
- Keep the bedroom cool. Cooler rooms help you to sleep
-- plus, if youre suffering from night sweats, itll feel great!
- Put some socks on. I know, this sounds a little
strange, particularly if youre awake due to night sweats....but cold feet can keep
you awake. And often your extremities are still cold even when youre in the midst of
flashes or night sweats.
- Try to breathe deeply and rhythmically. Even try
breathing to a count -- inhale, 2, 3; hold, 2, 3, exhale 2, 3 and so on.
- Tense and release the muscles in your body, one by one.
Often when youre suffering with insomnia, you tighten your muscles -- which makes
you feel more tense and less relaxed. Go through the muscles in your body one by one --
and focus on tightening them, then releasing them. This can help you get the stress out.
- If you have herbs in the house, pop a couple of valerian
capsules. Valerian is a natural sedative, and it has been shown to help promote better
sleep. (One note, though: Studies show that valerian is most effective in regulating sleep
patterns over a period of time.)
- Or try some kava kava. Its an herb that works
as an anti-anxiety agent -- which can help you to sleep. In fact, some doctors feel that
its even more effective than valerian for bad cases of insomnia.
What Can You Do Over the Longer Term to Improve Your
Sleep?
- Keep a regular schedule. If you go to bed -- and wake
up -- at roughly the same time every day, it will help regulate your body....which can
help you sleep.
- Give yourself some "wind-down" time before you
go to bed. Try not to go to be stressed. Instead take a half-hour or so before bedtime
and relax! Watch television (nothing too engrossing!), read a book, take a
bath.....anything that will calm you down before you hit the sack.
- Exercise every day. Just thirty minutes of exercise
daily can help your body de-stress.
- BUT dont exercise just before bedtime. And, for
that matter, avoid any activity (mental or physical) thats too strenuous. Strenuous
activity up to three hours before bedtime will put your body in a "wake-up" mode
-- and interfere with your attempts to fall asleep.
- Steer clear of stimulants like caffeine or nicotine for
up to four hours before bedtime. These will rev you up -- and interfere with your
bodys sleep mode.
- Also recognize that an alcoholic "nightcap"
might hurt more than it will help. Alcohol might make you feel drowsy, but it can
interfere with your ability to sleep soundly.
- Avoid certain hard-to-digest foods within four hours of
bedtime. Foods like onions, beans, broccoli and other cruciferous vegetables, protein
and spicy foods might keep you up.
- Take a warm shower or bath 90 minutes before bedtime.
This causes your body temperature to first rise, then go back down to normal, which can
help make you sleepy.
- Try meditation or relaxation exercises every night before
you go to bed. Just a few minutes can make the stress of the day roll off of
you....making you more able to sleep.
- Finally, if all else fails, turn on the light or get up.
Instead of tossing and turning, try to relax in another way. Read for a little while; get
up and go into the living room....anything that calms you. Sometimes the best way to
finally get some sleep is to not try for a little while.
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