Beschreibung:
<jats:title>Abstract</jats:title>
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<jats:title>Introduction</jats:title>
<jats:p>Menopause is a time of adaptation and transition to a new biological situation that implies the loss of reproductive function. The onset of menopause coincides with the onset of other symptoms related to hypertension, weight gain, hormonal changes, osteoporosis, and vascular disease. These hormonal changes could be responsible for some sleep disorders. It is well documented that the prevalence of sleep disorders is higher in post-menopause, regardless of other factors such as aging.</jats:p>
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<jats:title>Methods</jats:title>
<jats:p>As part of routine care for patients in a gynecology outpatient clinic, all patients with menopause were screened for sleep disorders using the following clinical tools: the Pittsburgh Sleep Quality Index (PSQI), the Patient Health Questionnaire (PHQ-9), the STOP-BANG Questionnaire, and the Epworth Scale.A full clinical history was also taken, focusing on sleep habits and risk factors that could contribute to sleep difficulties.Patients that presented with any sleep disorders were assessed and continued their treatment depending on these results.</jats:p>
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<jats:title>Results</jats:title>
<jats:p>Between August 2021 and December 2021, a total of 60 patients going through menopause that attended the gynecology outpatient clinic for other reasons were screened for sleep disorders.Using the PSQI we identified 51 patients with low quality sleep (defined as a score of 5 or higher using this tool).Depression was also identified in a total of 43 patients, none of which were receiving treatment. All these patients also reported low-quality sleep and other problems such as hypersomnia, which in turn was identified in 15 patients using the Epworth Scale.Thirty-five patients were identified as having at least 3 risks factors for obstructive sleep apnea with the STOP-BANG questionnaire and were ordered a polysomnography.</jats:p>
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<jats:title>Conclusion</jats:title>
<jats:p>Sleep disorders are highly prevalent in menopause. With this initiative, we present our experience and results incorporating routine screening for these disorders in a clinical setting outside of a sleep clinic.Integrating this information can be helpful for working in multidisciplinary teams aimed at reducing chronic diseases and mortality in these patients. This is a multidisciplinary approach that will continue in our institution.</jats:p>
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<jats:title>Support (If Any)</jats:title>
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