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What is the difference of sleep disturbance caused by hormonal problem and stress?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Albana Greca

Medically reviewed by

Dr. Vinodhini J.

Published At February 23, 2020
Reviewed AtJanuary 15, 2024

Patient's Query

Hello doctor,

What are the causes of sleep disturbances? What are some ways to tell if your sleep troubles are sleep anxiety and not a hormonal problem? What is the difference between sleep disturbances that are caused by hormones vs stress? How might someone address each of these different causes of sleep disturbances?

Answered by Dr. Albana Greca

Hello,

Welcome to icliniq.com.

First, we should know the patient's gender. Then, if female, ask if the sleep problems are all the time or more evident prior to periods due date? Then, I would ask both female and male patients to run a thyroid function test. While female patients to also check sexual hormone levels in the blood.

Stress makes it difficult to fall asleep and keep asleep and altering sleep quality. Hormonal changes will cause an increase in body heat (which becomes not stable) and adrenalin, which alter the quality of sleep, and time of sleeping. Estrogen will cause an increase in body fat in women more around the tummy. This will cause snoring and sleep apnea.

We should ask patients more details about their sleep like, is it difficult to fall asleep? Why? Do you wake up during the night? How many times if yes? Why? In this way, we will find more details about the sleeping problems my patients are having. Sometimes, they can sleep but they are so anxious and feel not enough to sleep.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Albana Greca
Dr. Albana Greca

General Practitioner

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