Clinical Edge

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Sleep Disturbance After Surgical Menopause

Menopause; ePub 2018 Nov 12; Cho, Kim, et al

Women who undergo surgical menopause (SM) experienced worse sleep quality compared with women who experience natural menopause (NM), and may benefit from behavioral interventions, a recent study found. 526 postmenopausal women completed self-report questionnaires about insomnia symptoms, sleep-interfering behaviors, depression, sleep quality, and gynecological history. Researchers conducted analysis of covariance to compare women who experienced NM vs SM on sleep variables. They found:

  • 429 (81.6%) women reported going through NM and 97 (18.4%) reported going through SM.
  • The SM group was significantly younger by 7.2 years.
  • Women in the SM group reported significantly worse sleep quality vs women in the NM group.
  • Those in the SM group were 2.131 times more likely to have insomnia vs women in the NM group.
  • Behavioral interventions may be beneficial in improving sleep quality.


Cho NY, Kim S, Nowakowski S, Shin C, Suh S. Sleep disturbance in women who undergo surgical menopause compared with women who experience natural menopause. [Published online ahead of print November 12, 2018]. Menopause. doi:10.1097/GME.0000000000001257.