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Dr. Michael J. Breus

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Why Some Women Can Have Problems Falling Asleep

Posted: 08/29/11 09:22 AM ET

We all know that sleep often becomes more difficult as we age. Some of us who've accumulated a certain number of birthday cards know this firsthand! We also know that our circadian "clocks" -- an internal mechanism that keeps us on a 24-hour, night-day cycle -- function less well with age, and this contributes to sleep problems that can plague older adults, including:

• Difficulty falling asleep
• Trouble staying asleep
• Problems with daytime alertness

In addition to difficulty with nightly sleep, as we age we're less likely to be able to cope with disruptions to our night-day routines, including difficulty adapting to time-zone changes, or working non-traditional hours, late at night or early in the morning.

Sleep is a critical factor in our long-term health and well being: Studies show that it can play an important role in extending health and longevity and lack of sleep, in turn, can pose serious health consequences as we age.

Women face particular challenges to sleep throughout their lives. Research shows they are more likely than men to experience difficulty sleeping. Evidence also suggests that over time, sleeplessness can have a more serious impact on women's overall health than on men's. Some of the sleep challenges for women are a matter of physiology, and others can be a matter of the many roles and responsibilities that women so often take on, particularly as mothers.

• Hormonal changes throughout a woman's monthly menstrual cycle -- primarily fluctuations of estrogen and progesterone -- can make falling asleep and staying asleep more difficult.
• Menopause and peri-menopause bring their own set of hormone-related sleep challenges: insomnia is a common -- and often overlooked -- problem for women experiencing menopause.
• While raising young children, everyone in the family is likely to be sleep-deprived at times, but women with young children are more likely to be deprived of sleep than men.

Understanding how the aging process affects sleep can help us find better ways to treat disordered sleep. That's why this news is significant: a recent study may provide new information about why our circadian clocks may become less effective as we age.

Researchers focused on a small area of the brain responsible for regulating the body's circadian clock, which controls our sleep-wake cycle. To study the effects that aging has on the circadian clock, researchers compared young mice and middle-aged mice, looking for differences between them. What did they find?

A dramatic difference in the amount of electrical activity in the area of the brain that controls the sleep-wake cycle (circadian clock) of younger mice versus older mice.

• In the younger mice, the researchers found very active brain waves during the day, and very little electrical activity at night. In middle-aged mice, the researchers found that the brain was not as active during day, and even more interestingly, it wasn't as quiet at night.

It's as if as we age, the clock that regulates our sleeping and wakefulness ticks more and more quietly. A less effective circadian clock means less -- and lower quality -- sleep. The more we know about why our circadian clock deteriorates with age, the better able we'll be to develop effective treatments for age-related sleep problems.

Here's some good news: you don't need to wait for science to make new breakthroughs to improve your sleep by paying attention to the way your circadian clock works. You can reinforce your body's own circadian rhythm -- and strengthen your sleep-wake cycle -- by adopting these habits:

• Exercise early in the day. Morning exercise can help stimulate your mind and body to a more alert, wakeful state, and sends the get-up-and-go message to your circadian brain.
• Get outside. Exposure to sunlight stimulates the brain's SCN. Turn your coffee break into a quick walk around the block, and you'll also be helping strengthen your circadian clock.
• Routine, routine. Our minds and bodies love -- and respond to -- routines. Setting regular bedtimes and rising times and eating and exercising at the same times during the day are calming to the mind and help reinforce the body's inner circadian rhythms.

With their particular challenges to sleep, women may find paying special attention to circadian-boosting habits a natural and effective way to sleep well, no matter what number shows up on that next birthday card.

Sweet Dreams,
Michael J. Breus, PhD
The Sleep Doctorâ„¢
www.thesleepdoctor.com

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We all know that sleep often becomes more difficult as we age. Some of us who've accumulated a certain number of birthday cards know this firsthand! We also know that our circadian "clocks" -- an inte...
We all know that sleep often becomes more difficult as we age. Some of us who've accumulated a certain number of birthday cards know this firsthand! We also know that our circadian "clocks" -- an inte...
 
 
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HUFFPOST SUPER USER
AngelaQuattrano
I just like to write comments
12:01 PM on 09/05/2011
I had insomnia my whole life until I gave up gluten for unrelated reasons. Now I no longer routinely lay awake for hours waiting to fall asleep.
01:32 PM on 09/09/2011
Yey! Another gluten sucess story! I got rid of migranes, about 10 pounds of ulgy bloat that was alawys around, foggy brain, skin rashes, you name it - All happened when I eliminated gluten. Keep getting the word out! Cutting sugar intake is also very helpful.
09:02 AM on 09/04/2011
Unfortunately, I've found I've got to make a trade off between staying thin and sound sleep. Eating lightly means sleeping lightly. I sometimes miss the days of carbohydrate-drugged deep sleep. But being slim, healthy (especially for me - no joint pain!), energized and mentally alert is worth it.
HUFFPOST SUPER USER
robert horwitz
03:44 PM on 09/01/2011
The reason that woman have a harder time falling asleep then men at night is because they are constantly nagging their male partners in the evening. This causes their minds to remain constantly active. Their male partners soon get so tired of the incessant nagging that they just naturally fall asleep. If you happen to be a man who has trouble falling asleep at night and you don't have a constantly gripping partner I suggest that you get one or try a double Scotch just before bedtime. Both of them together are sure to do the trick.
HUFFPOST SUPER USER
scottsdalebubbe
Progressive Micro-Capitalist Grandmother
05:13 PM on 08/31/2011
Easy, non-drug, uncomplicated solution: Oil of Evening Primrose capsules available at your natural food store -- or, if one is in your area, Trader Joe's -- least expensive, most effective. Also potentiates aspirin so it works better for joint and muscle pain, relieves menstrual cramps like nothing else. No hangover, no side effects except I recommend that it be taken at night because it does relax you and make you a bit sleepy. 25 years of experience.
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HUFFPOST SUPER USER
Ljilja
http://graciouslivingdaybyday.com/
04:23 PM on 08/31/2011
You are writing about me!

http://graciouslivingdaybyday.com/
05:54 AM on 08/31/2011
it works magic for me, and, for everyone i,ve recommended it to.i think it will be available in relazen products in usa. also of course a 20 minute walk once or twice a day, read osho, and meditate.
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jf12
When I saw her I marveled greatly.
10:53 AM on 08/30/2011
Here's what real research really shows. "Women on average have longer sleep than men"
http://womansday.ninemsn.com.au/healthanddiet/health/8290022/woman-get-a-better-nights-sleep-than-men

Reference: National Sleep Foundation.
http://www.sleepfoundation.org/
05:10 PM on 08/29/2011
So, why do some men have a hard time falling asleep?

Oh, that's right. Silly me. HP is only about women.
06:19 PM on 08/29/2011
They don't seem to have any problems snoozing off just with their woman is most wide awake.
10:12 AM on 08/30/2011
that's because they're bored.
HUFFPOST SUPER USER
Jim NLN
Hillary-Frank 2016
02:48 PM on 08/29/2011
That constant poking, poking, poking in the back does not help, either!
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jf12
When I saw her I marveled greatly.
10:36 AM on 08/30/2011
That never works, except when it does.
02:39 PM on 08/29/2011
I used to have problems falling to sleep as well. But I use valerian root and it always helps me go right to sleep. There are a number of brands available. You can find several brands at http://www.ahealthieryounutrition.com . Several are under $5 a bottle.
HUFFPOST SUPER USER
crom14
09:29 AM on 09/01/2011
Valerian root made my heart race out of control! Never had it before or since I stopped! Be careful!
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HUFFPOST SUPER USER
karen lyons kalmenson
i poem/paint, sometimes, i ain't
02:32 PM on 08/29/2011
i have trouble falling asleep
and if i do, i am awakened
by the slightest peep
and if i manage to fall
back then
soon as the littlest noise
or light
i am up, again

insomnia is the perfect cure for a good night's sleep"(
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HUFFPOST SUPER USER
fb0252
01:59 PM on 08/29/2011
the usual pap and misinfo.

most insomnia is caused by lower digestive system load/overload. causes "mild distress" that keeps you awake. here is experiment that will allow u to sleep like a baby.
1. take fairly strong laxative when you wake up in morning.
2. eat last meal before 3 p.m.
3. empty out completely before going to bed.
u'll sleep like baby and understand the connection.
06:20 PM on 08/29/2011
You are full of ......
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HUFFPOST SUPER USER
onwisconsin
Trust women; protect choice.
01:01 AM on 08/30/2011
No, apparently not...
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french queen13
my beloved is mine and I am his
08:48 PM on 08/29/2011
Last meal before 3pm? Sorry, an empty stomach is the last thing I need for a good night's sleep.
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Parkite
Still haven't found what I'm looking for
05:51 PM on 08/31/2011
Peanut butter on stoned wheat thins or saltines and a glass of milk. I can't sleep if my stomach is totally empty.
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Praetoria Cohors
Pragmatic Libertarian
01:25 PM on 08/29/2011
It probably doesn't help my wife's sleeping habits, when I am constantly checking to see if she wants to "wrestle" in the middle of the night.
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HUFFPOST SUPER USER
ncyim
07:10 PM on 08/29/2011
i think the asking part is the problem. Assume the answer is yes and proceed with caution so as not to wake her too much. Sweet dreams!
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Praetoria Cohors
Pragmatic Libertarian
10:15 PM on 08/29/2011
Thanks for the black eye. &{
ThatsTheTheWayItIs
religion, ideology, partisanship are delusional
12:43 PM on 08/29/2011
Take 3+ mg of melatonin before bed, sleep in totally dark room .

Melatonin is your body's natural sleep hormone, you produce less of it as you age. If over 40 try taking it. And any light suppresses melatonin, even on your skin. Get black-out shades, turn out night lights. Light at night decreases melatonin, causes cancer.

Daylight suppresses melatonin so you produce it at night. Not enough daylight, melatonin is produced during day, less at night. The result is SADD, fixed by daytime light visors. Humans are diurnal, not nocturnal. Night life and light kills.

http://environment.about.com/od/pollution/a/light_pollution.htm

To reduce breast cancer risks from light pollution, Prevention magazine recommends nine hours of sleep nightly in a dark room devoid of both interior (computer screens) and exterior (street lamps) light sources.
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HUFFPOST SUPER USER
Linus521
In wildness is the salvation of mankind
05:03 PM on 08/29/2011
Boy, you are so correct. When I began taking melatonin, it helped me sleep dramatically better. I keep telling my hubby to take it, but he doesn't. It has made my bedtime so much more relaxing and my sleep a no-brainer.

Some folks complain, the mellies make them dream more, but I find my dreams are so much more vague and scattered, and I can't remember them in the morning. Actually, I seem to dream less and have even fewer bad dreams. Yes, if you can't sleep, please try melatonin. I am up to 5 mg's. For me, it's a wonderful, easy and comfortable solution.
ThatsTheTheWayItIs
religion, ideology, partisanship are delusional
08:51 PM on 08/29/2011
I take 5 mg too now, though don't see much difference from 3 mg, so I recommend that to "beginners".
06:28 PM on 08/29/2011
If I am having trouble sleeping a really dark room is exactly wrong. My open awake eyes want to see. Having some kind of light on actually helps. So when I open my eyes, my brain sees my surroundings There is nothing worse than spending long periods of time staring into the darkness trying to go back to sleep.

Admit your are awake. Read a really boring book or restart one you just finished. Play solitaire, Hell you are awake already might as well make use of the time. Instead of stressing, do something useful but relaxing.
Bed not working? Try a chair with a pillow, the floor, anything to change the situation that is stressing you. A 20 to 40 minute nap is better than tearing the sheets loose.
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HUFFPOST SUPER USER
Dr Scott
All I ask is that you make sense
12:00 PM on 08/29/2011
My wife says that her insomnia is caused by my snoring. To solve the problem, I built a bed nook in my study. The dogs and I sleep there. Wife, who is employed, gets her sleep.
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Mister President
HUFFPOST NOT SO SUPER USER
03:06 PM on 08/29/2011
Call it a "bed nook" all you want, your wife has put you in a permanent doghouse.
06:29 PM on 08/29/2011
Because He is keeping her awake.

There are lots of women who would think this guy is terrific.
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HUFFPOST SUPER USER
ncyim
07:07 PM on 08/29/2011
You are a sweetheart!