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Review, 2018

How does the menstrual cycle affect sleep?

Sleep quality is worse during the premenstrual phase and during menstruation, especially if you have PMS or period pain. The week before your period also involves less REM sleep and changes in body temperature.

Moderate study design Review article; applies to women generally and those with sleep or menstrual complaints

What they did

Review of research on how the menstrual cycle affects both how women report their sleep quality and objective sleep measurements.

What they found

Poorer sleep occurs in the premenstrual phase and during menstruation, particularly in women with PMS or painful cramps. Sleep spindle activity increases from follicular to luteal phase, possibly related to progesterone. The luteal phase also shows reduced REM sleep and blunted temperature rhythm amplitude. Short sleep duration is associated with irregular menstrual cycles.

What it means for you

Poor sleep before your period is likely part of PMS. Doctors should ask about menstrual symptoms when assessing sleep problems. Better sleep may help regulate menstrual cycles.

About the study

Original title
Menstrual Cycle Effects on Sleep
Authors
Baker FC, Lee KA
Journal
Sleep medicine clinics
Year
2018
Study design
Review
What was tested
None

Topics