Menopausal woman can’t sleep

DEAR DR. GOTT: I have been going through menopause for the past seven years and have made it through the difficult phase. However, I have a problem staying asleep. I fall asleep most of the time with no problem but will stay asleep for about two hours. Then I can’t fall asleep again. Do you have a solution to this problem other than using estrogen?

DEAR READER: As you are aware, hormonal changes occur during menopause. Those changes can produce symptoms of insomnia that can range from transient and temporary to chronic and annoying. A woman actually goes through three phases: perimenopause, menopause and postmenopause. During the first stage, estrogen levels can decline, resulting in abnormal cycles, hot flashes and temporary insomnia. Menopause occurs when a woman has remained free of a cycle for 12 months. [Read more...]

Stressful job can affect health

DEAR DR. GOTT: At age 50-plus, I took a job that was stressful to the extent it caused sleepless nights and loss of appetite. I resorted to taking an over-the-counter sleep aid, which left me with a headache and feeling sluggish in the morning. To alleviate those symptoms, I took Excedrin for the headache and a caffeine bump. At the end of the year, my contract expired. I lost 20 pounds and was exhausted.

I went to my physician for a regular checkup. Routine lab work indicated I had an elevated TSH (6). My doctor asked about fatigue, weight gain, hair loss, brittle nails, dry skin and more. I explained the circumstances of my former job and because of my age, I was at least perimenopausal. I was still having periods every three weeks instead of four. I felt the symptoms I had indicated hypothyroidism. I expressed my feelings and was prescribed levothyroxine, which was to continue forever. [Read more...]