Hormone Replacement Therapy for Women With Insomnia: A Closer Look
Sleep complaints often arrive in the clinic wrapped in other symptoms. A woman may say she is exhausted, waking at 3 a.m., irritable at work, and struggling to think clearly. Only after a careful conversation does the pattern come into focus: hot flashes at night, a menstrual cycle that has become erratic, breast tenderness one month and none the next, then a growing sense that her body no longer follows familiar rules. In that setting, insomnia is not always a st