Can a 30-year-old with OSA continue using APAP long-term?

Question

Hello doctor,

I am 30 years old and was diagnosed with obstructive sleep apnea a few months ago. Since then, I have been using an APAP machine. I was told that surgery is also an option, but it honestly scares me.

Can a 30-year-old continue using APAP long-term without having surgery?
I am worried about relying on a machine for the rest of my life. Is APAP alone enough to protect my heart and brain from the complications of sleep apnea?
Although I am using the treatment, I still feel exhausted on some nights. Am I increasing my risk of future complications by choosing not to have surgery?

I travel frequently, and carrying the APAP machine is often stressful. I am looking for a long-term solution rather than just a temporary fix.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

For most people with obstructive sleep apnea (a condition where sleep is interrupted by abnormal breathing), APAP (automatic positive airway pressure) is the first-line long-term treatment, and many use it safely for years. It is not harmful or addictive. It simply keeps your airway open while you sleep.

If used effectively, the treatment can help minimize the dangers associated with hypertension, heart problems, stroke, and excessive daytime sleepiness.

If you are still feeling exhausted, it does not necessarily mean that APAP is not working. Your doctor should review your machine data and also look for other causes, such as poor sleep quality, inadequate pressure settings, or another underlying medical condition.

Surgery is usually considered if APAP is not tolerated or if there is a correctable airway problem. You do not have to choose surgery if APAP is working well for you.

Since you travel often, ask about a travel-sized CPAP (continuous positive airway pressure) or APAP machine or other suitable options.

You should continue regular follow-up with your sleep specialist.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.