Woman lying in bed

Feminine intimate hygiene tips

Kathryn Pinkham is founder of The Insomnia Clinic and Over The Bloody Moon’s Insomnia Advisor.

Over the Bloody Moon logo This content has been brought to you in collaboration with Menopause experts and clinicians

Always Discreet, is on a mission to empower women so that they can manage their menopause symptoms with confidence. They’re teaming up with Menopause experts, Over the Bloody Moon, to help equip and inform women as they embark on the next stage of their life.

Tired of not sleeping?

If you find yourself struggling with your sleep during the menopause, you’re not alone. In fact, 30-60% of women suffer from insomnia during this stage of life*. Whilst experiencing poor sleep can be tough, the good news is that there are evidence based and NHS recommended techniques which can help you improve your sleep during this time.

Sleep Tips

  1. Don't spend too long in bed. The first thing we do when we can't sleep is start going to bed earlier to try and increase our hours of sleep. Reduce the amount of time you spend in bed awake, go to bed later and get up earlier, this will encourage your body’s natural sleep drive to kick in. By reducing the time you spend in bed you will crave more sleep, fall asleep faster and find your quality of sleep improving
  2. Stop watching the clock. If you are waking from hot flushes, then it’s very tempting to look at the clock every time to monitor how little sleep you are getting. However, this increases the pressure to fall back to sleep and makes it less likely. Set your alarm for the morning then avoid looking at the time again
  3. Don't lie awake in bed. If you can't get to sleep or have woken in the middle of the night due to a hot flush, get out of bed. The longer we lie in bed trying to fall back to sleep, the more frustrated we get. This means we begin to subconsciously relate bed to feeling stressed and being awake rather than asleep. Leave the bedroom and do something relaxing like reading a book in another room, then when you are tired go back to bed
  4. Don’t expect too much from your sleep. The worst thing you can do is worry, as worrying about sleep is worse than not sleeping. Try to find ways during the day to increase energy such as fresh air, daylight and healthy food. As menopause can be a difficult time, don’t expect too much from your sleep
  5. Recognise the connection between stress and sleep. Even if your sleep improves, stress is exhausting. So, make sure you’re managing stress too. Every day, allocate a 20-minute window of time to write down everything you’re worried about. This is a great way of telling your mind that you are not ignoring your worries, but rather you’re acknowledging them at a time that is suitable for you. Always use a pen and paper, as this is a much more effective way to empty your mind than using a digital device.
  6. Once this 20-minute window is up, move on, do something you enjoy and if any thoughts or worries pop up simply make a note of them and then allow yourself to think about them during your allocated time later on. This technique will teach your mind to be more proactive about when you worry, so the worries are not constantly intruding

If you’re feeling symptoms of anxiety and panic, take a deep breath. Then remember, with the correct techniques, you can learn how to manage your symptoms, which will in turn help you to sleep better.

Cognitive Behavioural Therapyfor Insomnia
Repeatedly shown to help menopausal women improve their sleep, and what I practice with The Insomnia Clinic, is CBT for insomnia (CBT-i), is an NHS recommended course of treatment. It helps people understand what they need to sleep well and changes their habits and behaviours to promote better quality of sleep. With recommended techniques, up to 80% of people see improved sleep, often in under four weeks.

You might also want to use the Sleepio app recommended by NHS.

*Joffe, H, Massler, A & Sharkey, K. M (2010) Evaluation and management of sleep disturbance during the menopause transition. Seminars in reproductive medicine, 28 (5) 404-421

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