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Clin Obstet Gynecol. 2000 Mar;43(1):184-97.

Evaluation and management of insomnia in menopause.

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  • 1Department of Neurology, University of Utah School of Medicine, Salt Lake City 84132, USA.


Insomnia is a problem with complex and multifactorial etiologies that requires both standardized and individualized treatment interventions. Specific targets of treatment may include hyperarousal, poor sleep habits, underlying mood disorders, sedative overuse, pain and general medical problems, circadian dysrhythmias, sleep apnea, and restless legs syndrome. Optimal treatment also will incorporate stress management, coping strategies, enhancement of relationships, and promoting lifestyle changes that facilitate sleep.

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