{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T14:30:06Z","timestamp":1788877806621,"version":"build-2803163510"},"reference-count":64,"publisher":"Georg Thieme Verlag KG","issue":"11","license":[{"start":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T00:00:00Z","timestamp":1723680000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geburtshilfe Frauenheilkd"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Women often face sleep disturbances during key life stages such as adolescence, pregnancy, postpartum period, and perimenopause, influenced by hormonal fluctuations and conditions like polycystic ovary syndrome (PCOS) and premenstrual syndrome (PMS). The goal is to explore women\u2019s sleep disorders as classified in the International Classification of Sleep Disorders-3 (ICSD-3). Through a literature review, this study assesses the management of sleep disorders in women, particularly focusing on the link between gynecological disease and sleep disorders. It scrutinizes landmark research in diagnosing and treating women\u2019s sleep disorders. Observations indicate that physiological changes during adolescence, pregnancy, postpartum, and perimenopause can cause sleep issues, commonly addressed by gynecologists. Conditions like PCOS and PMS are notably linked to increased sleep disorder occurrences. The conclusion underscores the importance of gynecologists\u2019 awareness of the heightened\n      risk of sleep disturbances in women, who often present these issues during consultations.<\/jats:p>","DOI":"10.1055\/a-2371-0763","type":"journal-article","created":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T22:52:20Z","timestamp":1723762340000},"page":"1043-1049","source":"Crossref","is-referenced-by-count":6,"title":["Sleep Disorders in Women: What Should a Gynecologist Know?"],"prefix":"10.1055","volume":"84","author":[{"given":"Alperen","family":"Aksan","sequence":"additional","affiliation":[{"name":"Ankara Etlik Z\u00fcbeyde Han\u0131m Kad\u0131n Hastal\u0131klar\u0131 E\u011fitim ve Ara\u015ft\u0131rma Hastanesi, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berna","family":"Dilbaz","sequence":"additional","affiliation":[{"name":"Ankara Etlik Z\u00fcbeyde Han\u0131m Kad\u0131n Hastal\u0131klar\u0131 E\u011fitim ve Ara\u015ft\u0131rma Hastanesi, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,8,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"e4718","DOI":"10.1590\/1414-431X20154718","article-title":"Poor sleep in middle-aged women is not associated with menopause per se","volume":"49","author":"MF Tao","year":"2016","journal-title":"Braz J Med Biol Res"},{"key":"ref2","volume-title":"Sleep-wake disorders: DSM-5\u00ae selections","author":"American Psychiatric Association","year":"2015"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1016\/j.maturitas.2015.04.017","article-title":"Sleep disturbances in menopausal women: Aetiology and practical aspects","volume":"81","author":"M Bruyneel","year":"2015","journal-title":"Maturitas"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1190","DOI":"10.1097\/GME.0000000000000459","article-title":"Confirmatory factor analysis of the Pittsburgh Sleep Quality Index in women with hot flashes","volume":"22","author":"JL Otte","year":"2015","journal-title":"Menopause"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1016\/j.apnr.2015.01.004","article-title":"Improving sleep quality interventions among menopausal women with sleep disturbances in Taiwan: a preliminary study","volume":"28","author":"HC Hsu","year":"2015","journal-title":"Appl Nurs Res"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1111\/psyg.12190","article-title":"Prevalence and correlates of sleep problems among elderly Singaporeans","volume":"17","author":"V Sagayadevan","year":"2017","journal-title":"Psychogeriatrics"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1016\/j.slsci.2016.11.001","article-title":"Instruments to study sleep disorders in climacteric women","volume":"9","author":"\u00c1 Monterrosa-Castro","year":"2016","journal-title":"Sleep Sci"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1904","DOI":"10.1038\/s41598-017-01489-7","article-title":"Sleep disorder, an independent risk associated with arterial stiffness in menopause","volume":"7","author":"Y Zhou","year":"2017","journal-title":"Sci Rep"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"10805","DOI":"10.12998\/wjcc.v9.i35.10805","article-title":"Blood tests for prediction of deep endometriosis: A case-control study","volume":"9","author":"ZY Chen","year":"2021","journal-title":"World J Clin Cases"},{"key":"ref10","first-page":"540","article-title":"Sex, steroids, and sleep: a review","volume":"22","author":"R Manber","year":"1999","journal-title":"Sleep"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1255","DOI":"10.1093\/sleep\/27.7.1255","article-title":"Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan","volume":"27","author":"MM Ohayon","year":"2004","journal-title":"Sleep"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"667","DOI":"10.1016\/j.jsmc.2023.06.017","article-title":"Sleep Disorders and Aging in Women","volume":"37","author":"W Akberzie","year":"2021","journal-title":"Clin Geriatr Med"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1055","DOI":"10.1093\/sleep\/33.8.1055","article-title":"Sleeping like a baby\u2013does gender influence infant arousability?","volume":"33","author":"HL Richardson","year":"2010","journal-title":"Sleep"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1165","DOI":"10.1097\/01.wnr.0000227978.98389.43","article-title":"Sex differences in electrocortical activity in human neonates","volume":"17","author":"M Thordstein","year":"2006","journal-title":"Neuroreport"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1159\/000216538","article-title":"Adolescent changes in the homeostatic and circadian regulation of sleep","volume":"31","author":"MH Hagenauer","year":"2009","journal-title":"Dev Neurosci"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"R1038","DOI":"10.1016\/j.cub.2004.11.039","article-title":"A marker for the end of adolescence","volume":"14","author":"T Roenneberg","year":"2004","journal-title":"Curr Biol"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1016\/j.yfrne.2013.11.003","article-title":"Sex differences in circadian timing systems: implications for disease","volume":"35","author":"M Bailey","year":"2014","journal-title":"Front Neuroendocrinol"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1177\/0748730410374943","article-title":"Sex differences in phase angle of entrainment and melatonin amplitude in humans","volume":"25","author":"SW Cain","year":"2010","journal-title":"J Biol Rhythms"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"760","DOI":"10.1016\/S0140-6736(08)60346-3","article-title":"Menopause","volume":"371","author":"HD Nelson","year":"2008","journal-title":"Lancet"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"1301","DOI":"10.1097\/GME.0000000000000240","article-title":"Examining the relationship between subjective sleep disturbance and menopause: a systematic review and meta-analysis","volume":"21","author":"Q Xu","year":"2014","journal-title":"Menopause"},{"key":"ref21","volume-title":"The International Classification of Sleep Disorders. Diagnostic and coding Manual","author":"American Academy of Sleep Medicine","year":"2005"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1387","DOI":"10.1378\/chest.14-0970","article-title":"International classification of sleep disorders \u2013 third edition: highlights and modifications","volume":"146","author":"MJ Sateia","year":"2014","journal-title":"Chest"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"15026","DOI":"10.1038\/nrdp.2015.26","article-title":"Insomnia disorder","volume":"1","author":"CM Morin","year":"2015","journal-title":"Nat Rev Dis Primers"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"e247","DOI":"10.1542\/peds.2004-2629","article-title":"Epidemiology of DSM-IV insomnia in adolescence: lifetime prevalence, chronicity, and an emergent gender difference","volume":"117","author":"EO Johnson","year":"2006","journal-title":"Pediatrics"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"197","DOI":"10.5665\/sleep.4396","article-title":"Health correlates of insomnia symptoms and comorbid mental disorders in a nationally representative sample of US adolescents","volume":"38","author":"M Blank","year":"2015","journal-title":"Sleep"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1016\/j.sleep.2013.08.787","article-title":"Prevalence of insomnia symptoms in a general population sample of young children and preadolescents: gender effects","volume":"15","author":"SL Calhoun","year":"2014","journal-title":"Sleep Med"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"1563","DOI":"10.5665\/sleep.6022","article-title":"Emergence of Sex Differences in Insomnia Symptoms in Adolescents: A Large-Scale School-Based Study","volume":"39","author":"J Zhang","year":"2016","journal-title":"Sleep"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1007\/s00737-011-0247-x","article-title":"Sleep deprivation and postpartum mental health: case report","volume":"14","author":"EP Sloan","year":"2011","journal-title":"Arch Womens Ment Health"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.maturitas.2020.06.010","article-title":"Insomnia symptoms in relation to menopause among middle-aged Chinese women: Findings from a longitudinal cohort study","volume":"141","author":"M Luo","year":"2020","journal-title":"Maturitas"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"1426","DOI":"10.1210\/jc.2014-3892","article-title":"Interaction between reproductive hormones and physiological sleep in women","volume":"100","author":"M de Zambotti","year":"2015","journal-title":"J Clin Endocrinol Metab"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1016\/j.smrv.2017.06.009","article-title":"Insomnia disorder in adolescence: Diagnosis, impact, and treatment","volume":"39","author":"M de Zambotti","year":"2018","journal-title":"Sleep Med Rev"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"101710","DOI":"10.1016\/j.smrv.2022.101710","article-title":"The role of ovarian hormones in the pathophysiology of perimenopausal sleep disturbances: A systematic review","volume":"66","author":"A Haufe","year":"2022","journal-title":"Sleep Med Rev"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1","DOI":"10.17241\/smr.2013.4.1.1","article-title":"Sleep and Women\u2019s Health","volume":"4","author":"S Nowakowski","year":"2013","journal-title":"Sleep Med Res"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1159\/000092892","article-title":"Comparison of sleep condition and sleep-related psychological activity after cognitive-behavior and pharmacological therapy for chronic insomnia","volume":"75","author":"R Wu","year":"2006","journal-title":"Psychother Psychosom"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1093\/sleep\/33.4.539","article-title":"Sleep symptoms during the menopausal transition and early postmenopause: observations from the Seattle Midlife Women\u2019s Health Study","volume":"33","author":"NF Woods","year":"2010","journal-title":"Sleep"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"2851","DOI":"10.1001\/jama.295.24.2851","article-title":"Cognitive behavioral therapy vs zopiclone for treatment of chronic primary insomnia in older adults: a randomized controlled trial","volume":"295","author":"B Sivertsen","year":"2006","journal-title":"JAMA"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1016\/S2213-2600(15)00043-0","article-title":"Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study","volume":"3","author":"R Heinzer","year":"2015","journal-title":"Lancet Respir Med"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1111\/cen.14153","article-title":"Eating, sleeping and sexual function disorders in women with polycystic ovary syndrome (PCOS): A systematic review and meta-analysis","volume":"92","author":"A Thannickal","year":"2020","journal-title":"Clin Endocrinol (Oxf)"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"e1827","DOI":"10.1210\/clinem\/dgz285","article-title":"Poor Sleep Is Related to Metabolic Syndrome Severity in Adolescents With PCOS and Obesity","volume":"105","author":"S Simon","year":"2020","journal-title":"J Clin Endocrinol Metab"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1016\/S1474-4422(14)70218-2","article-title":"Hypocretin (orexin) biology and the pathophysiology of narcolepsy with cataplexy","volume":"14","author":"RS Liblau","year":"2015","journal-title":"Lancet Neurol"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"101683","DOI":"10.1016\/j.smrv.2022.101683","article-title":"Precocious puberty in narcolepsy type 1: Orexin loss and\/or neuroinflammation, which is to blame?","volume":"65","author":"S Melzi","year":"2022","journal-title":"Sleep Med Rev"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1016\/j.jpsychires.2004.05.008","article-title":"Women\u2019s sleep in health and disease","volume":"39","author":"A Dzaja","year":"2005","journal-title":"J Psychiatr Res"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"1286","DOI":"10.1164\/rccm.201602-0265OC","article-title":"Continuous Positive Airway Pressure Improves Quality of Life in Women with Obstructive Sleep Apnea. A Randomized Controlled Trial","volume":"194","author":"F Campos-Rodriguez","year":"2016","journal-title":"Am J Respir Crit Care Med"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1111\/j.1365-2869.1994.tb00100.x","article-title":"Sleep spindle frequency changes during the menstrual cycle","volume":"3","author":"Y Ishizuka","year":"1994","journal-title":"J Sleep Res"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1111\/j.1469-7793.2001.0565k.x","article-title":"Sleep and 24 hour body temperatures: a comparison in young men, naturally cycling women and women taking hormonal contraceptives","volume":"530","author":"FC Baker","year":"2001","journal-title":"J Physiol"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"1684","DOI":"10.1152\/japplphysiol.00919.2001","article-title":"Acetaminophen does not affect 24-h body temperature or sleep in the luteal phase of the menstrual cycle","volume":"92","author":"FC Baker","year":"2002","journal-title":"J Appl Physiol (1985)"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/j.sleep.2005.03.004","article-title":"Gender differences in the presentation of subjects with restless legs syndrome","volume":"7","author":"AJ Bentley","year":"2006","journal-title":"Sleep Med"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1016\/j.chest.2018.04.005","article-title":"Sleep in Women Across the Life Span","volume":"154","author":"MF Pengo","year":"2018","journal-title":"Chest"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1016\/S0022-3999(03)00067-9","article-title":"Self-reported sleep across the menstrual cycle in young, healthy women","volume":"56","author":"FC Baker","year":"2004","journal-title":"J Psychosom Res"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"2370","DOI":"10.1001\/archinte.165.20.2370","article-title":"Relationship of day-to-day reproductive hormone levels to sleep in midlife women","volume":"165","author":"HM Kravitz","year":"2005","journal-title":"Arch Intern Med"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1210\/jcem.81.2.8636295","article-title":"Sleep and the sleep electroencephalogram across the menstrual cycle in young healthy women","volume":"81","author":"HS Driver","year":"1996","journal-title":"J Clin Endocrinol Metab"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1016\/j.ncl.2019.04.003","article-title":"Circadian Rhythm Sleep-Wake Phase Disorders","volume":"37","author":"E Culnan","year":"2019","journal-title":"Neurol Clin"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"716","DOI":"10.1016\/j.parkreldis.2014.03.027","article-title":"Restless legs syndrome and pregnancy: a review","volume":"20","author":"P Srivanitchapoom","year":"2014","journal-title":"Parkinsonism Relat Disord"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1016\/j.smrv.2011.05.002","article-title":"Epidemiology of restless legs syndrome: a synthesis of the literature","volume":"16","author":"MM Ohayon","year":"2012","journal-title":"Sleep Med Rev"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1016\/j.sleep.2010.12.018","article-title":"Prevalence of restless legs syndrome in North American and Western European populations: a systematic review","volume":"12","author":"KE Innes","year":"2011","journal-title":"Sleep Med"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.sleep.2016.01.017","article-title":"Guidelines for the first-line treatment of restless legs syndrome\/Willis-Ekbom disease, prevention and treatment of dopaminergic augmentation: a combined task force of the IRLSSG, EURLSSG, and the RLS-foundation","volume":"21","author":"D Garcia-Borreguero","year":"2016","journal-title":"Sleep Med"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"2150132720905950","DOI":"10.1177\/2150132720905950","article-title":"Management of Restless Legs Syndrome in Pregnancy and Lactation","volume":"11","author":"M Jahani Kondori","year":"2020","journal-title":"J Prim Care Community Health"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1016\/j.smrv.2011.08.006","article-title":"When gender matters: restless legs syndrome. Report of the \u201cRLS and woman\u201d workshop endorsed by the European RLS Study Group","volume":"16","author":"M Manconi","year":"2012","journal-title":"Sleep Med Rev"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"1748","DOI":"10.1007\/s00415-007-0624-6","article-title":"Prevalence of the restless legs syndrome in transsexual patients: the hormonal hypothesis revisited","volume":"254","author":"S Fulda","year":"2007","journal-title":"J Neurol"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"e24438","DOI":"10.5812\/ircmj.24438","article-title":"Restless Legs Syndrome During Pregnancy and Preterm Birth in Women Referred to Health Centers of Ardabil","volume":"17","author":"Z Meharaban","year":"2015","journal-title":"Iran Red Crescent Med J"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1016\/j.clinthera.2015.11.021","article-title":"Restless Legs Symptoms and Pregnancy and Neonatal Outcomes","volume":"38","author":"DO Oyieng\u2019o","year":"2016","journal-title":"Clin Ther"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1016\/j.smrv.2017.10.003","article-title":"Prevalence of restless legs syndrome during pregnancy: A systematic review and meta-analysis","volume":"40","author":"SJ Chen","year":"2018","journal-title":"Sleep Med Rev"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1007\/s15006-023-2296-2","article-title":"Restless-Legs-Syndrom: Eisenstoffwechsel optimieren!","volume":"165","author":"N Zink","year":"2023","journal-title":"MMW Fortschritte der Medizin"},{"key":"ref65","doi-asserted-by":"publisher","first-page":"2585","DOI":"10.1212\/WNL.0000000000003388","article-title":"Practice guideline summary: Treatment of restless legs syndrome in adults: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology","volume":"87","author":"JW Winkelman","year":"2016","journal-title":"Neurology"}],"container-title":["Geburtshilfe und Frauenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2371-0763.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T00:12:14Z","timestamp":1731024734000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2371-0763"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,15]]},"references-count":64,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11,7]]},"published-print":{"date-parts":[[2024,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2371-0763","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0016-5751","1438-8804"],"issn-type":[{"value":"0016-5751","type":"print"},{"value":"1438-8804","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,15]]}}}