.
. >>>
. >>> IN
. >>> IN TODAY'S GET HEALTHY IF
YOU HAVE GONE THROUGH MENOPAUSE
YOU MAY HAVE NOTICED INSOMNIA,
MAYBE WEIGHT GAIN AND, YOU
KNOW WHAT, THEY ARE TOTALLY
COMMON.
COMMON.
COMMON. >> I FEEL LIKE I AM ALREADY
THERE!
THERE!
THERE! [
THERE! [ LAUGHING ]
>> APPARENTLY THERE ARE A FEW
CAUSES OF THOSE SYMPTOMS!
WELL, JOINING US RIGHT NOW IS
DR. KAREN ADAMS, WITH THE
WOMEN'S SEXUAL HEALTH
DEPARTMENT.
DEPARTMENT. AND DR. NICOLE SORINO, YOU ARE
A PSYCHIATRIST FOCUSING ON MEN
AND WOMEN'S SEXUAL HEALTH
ISSUES.
ISSUES.
ISSUES. YOU GUYS HAVE SEEN PATIENTS
GOING THROUGH MENOPAUSE.
THIS IS A REOCCURRING SEGMENT
SO THANK YOU FOR COMING BACK.
TODAY WE ARE TALKING FIRST
ABOUT INSOMNIA.
ABOUT INSOMNIA. WHAT HAPPENS DURING MENOPAUSE
THAT MAKES YOU NOT ABLE TO
SLEEP?
SLEEP?
SLEEP? >>
SLEEP? >> THAT IS COMMON IN MID-LIFE.
ABOUT 50% OF WOMEN 45 AND OLDER
REPORT SLEEP DISTURBANCE.
CAN YOU BELIEVE THAT?
THAT IS A HUMAN NUMBER, HUGE
NUMBER.
NUMBER.
NUMBER. WHAT WE WANT DO DO AS
PHYSICIANS, WE RUN THE
MENOPAUSE AND SEXUAL MEDICINE
PROGRAM IN THE CENTER FOR
WOMEN'S HEALTH SO WE
COLLABORATE TOGETHER ON MOST OF
THESE PATIENTS.
THESE PATIENTS. THE FIRST THING WE WANT DO IS
MAKE SURE THEY DON'T HAVE
MEDICAL CONDITIONS WE NEED TO
DEAL WITH.
DEAL WITH. RESTLESS LEG SYNDROME, SLEEP
APNEA OR DEPRESSION, THOSE
SORTS OF THINGS THAT CAN REALLY
CAUSE SLEEP DISTURBANCES.
EVEN OUTSIDE OF THOSE THINGS A
LOT OF WOMEN HAVE A HARD TIME
SLEEPING.
SLEEPING.
SLEEPING. >> IS IT THE HORMONES GOING
WACKY?
WACKY?
WACKY? >>
WACKY? >> IT CAN BE HORMONES.
IF YOU ARE NIGHT SWEATING,
KICKING THE COVERS OFF FOUR
TIMES A NIGHT, PUTTING THEM ON
AND OFF, THAT CAN BE SLEEP
DISTURBANCE BUT SOME PEOPLE
HAVE THAT ANYWAY, ALMOST 50%
OF US DO.
OF US DO.
OF US DO. >> HOW LONG DOES THAT LAST FOR
AND HOW MUCH SLEEP DEPOSIT ARE
IVASION ARE WE -- DERIVATION
ARE WE TALKING ABOUT?
>> RIGHT.
>> RIGHT.
>> RIGHT. WE SEE CHANGES AS WE GET
OLDER.
OLDER.
OLDER. WE
OLDER. WE DON'T REACH STAGE 4, THAT
DEEP SLEEP THE OLDER WE GET.
THE MELATONIN GOES DOWN AS WE
AGE SO WE NEED LESS SLEEP AS WE
GET OLDER.
GET OLDER. THERE ARE THINGS WE HE CAN DO
TO PRESERVE OUR SLEEP AND FEEL
THE MOST RESTED.
SOME
SOME PEOPLE USE OVER THE COUNTER SLEEP MEDICATIONS,
SOME EVEN USE ANTIDEPRESSANTS.
>> WELL, ANOTHER THING THAT WE
HAVE BEEN TALKING ABOUT, OR
THAT WE ARE GOING TO WANT TO
TALK ABOUT IS WEIGHT GAIN THAT
A LOT OF WOMEN --
>> I CAN DEAL WITH NOT SLEEPING
BUT I DON'T WANT TO GAIN
WEIGHT.
WEIGHT.
WEIGHT. >> ISN'T THAT INTERESTING THAT
IF YOU ARE HAVING DIFFICULTY
SLEEPING IT IS HARDER TO
MOUNTAIN AND LOSE WEIGHT.
>> THAT -- MAINTAIN AND LOSE
WEIGHT.
WEIGHT.
WEIGHT. >> THAT MAKES SENSE.
>> INSOMNIA BRINGS ALL KINDS OF
SYMPTOMS.
SYMPTOMS.
SYMPTOMS. BRAIN FOG, MOOD ISSUES -- ONE
OF MY PATIENTS ACTUALLY RUNS A
DEMENTIA CLINIC.
DEMENTIA CLINIC. SHE SAYS THE FIRST THING THEY
DO TO SORT THAT OUT IS GETTING
THEM A GOOD NIGHT SLEEP.
A GOOD NIGHT SLEEP MAKE AS HUGE
DIFFERENCE ON HOW WELL YOU
FUNCTION DURING THE DAY,
INCLUDING ISSUES WITH
MAINTAINING WEIGHT.
MAINTAINING WEIGHT. >> ALSO, WHEN YOU GET TO
MENOPAUSAL AGE, THINGS START
TO HURT.
TO HURT.
TO HURT. YOUR JOINTS START TO HURT.
YOU MAY NOT BE AS ACTIVE AS YOU
USED TO BE.
>> RIGHT.
>> RIGHT.
>> RIGHT. THERE IS THIS WHOLE THING
CALLED SLEEP HYGIENE.
THERE IS MEDICATION AND THE
THINGS THAT THE DOCTOR WAS
TALKING ACT LIKE TURNING OFF
YOUR COMPUTER AN HOUR BEFORE
YOU GO TO BED.
>> DON'T LOOK AT YOUR PHONE.
YOU KNOW, IF YOUR ALARM IS ON
YOUR PHONE AND YOU PICK UP THE
PHONE TO TURN OFF THE ALARM,
HOW MANY PEOPLE HAVE DONE A
WORK EMAIL WHILE LAYING IN BED.
>> ME!
>> ME!
>> ME! [
>> ME! [ LAUGHING ]
>> I KNOW!
>> NOT A GOOD IDEA.
>> DON'T EVER HIT SEND WHEN YOU
ARE LAYING IN BED.
NOT A GOOD THING.
>> YES.
>> YES.
>> YES. >> THOSE KINDS OF THINGS LIKE
DON'T EAT OR DRINK A LOT BEFORE
YOU GO TO BED.
TURN OFF THE COMPUTER.
HAVE BLACKOUT CURTAINS.
MAKE IT DARK.
HAVE A LITTLE HAND ALARM CLOCK
THAT GOES AROUND THAT YOU CAN
TURN OFF.
TURN OFF.
TURN OFF. AND DAYTIME EXERCISE AND
MAINTAINING A HEALTHY DIET AND
MANAGING YOUR WEIGHT, OF
COURSE, ALSO HELPS.
>> THANK YOU FOR THE TIPS.
I FEEL LIKE I CAN USE THIS
KNOWLEDGE ALREADY.
KNOWLEDGE ALREADY. THANK YOU.
THANK YOU. >> YES, YOU GUYS ARE