Monday, August 29, 2011

Sleep

It has been almost two months since I last wrote in my blog, and I think that is probably a good thing. It's a sign that I am keeping busy—primarily traveling and doing some volunteer work—and that I'm not spending as much time focusing on the "trials" of widowhood and thinking about what is missing in my life. I am actually starting to spend more time thinking about other things, and one of the issues I've been thinking about lately is sleep—or the lack of it.

What is it about post-menopausal women and sleep? It seems like the inability to fall asleep and/or stay asleep is one of the primary topics of conversation among my friends, most of whom are post-menopausal. For a while after Art died, it was easy for me to blame my grief for difficulties falling asleep, or for staying asleep for more than a couple of hours at a time. There is no doubt that it did play a role during those first months, or even longer; but the truth is, over the years, beginning when I was in my mid-40s, there have been many periods of time when I have had difficulty either falling asleep or staying asleep, or both. That seems to be the story for many of my friends too. So, I've come to the totally unscientific conclusion that this difficulty with getting a good night's sleep is primarily a women's issue.

I know all the tips for avoiding insomnia: don't drink caffeine for at least 8 hours before bedtime; avoid alcohol, nicotine and stimulating activities in the hours before bedtime; don't use the bed for anything but sleeping (and sex); go to bed and get up at the same time every day; avoid napping during the day; keep the bedroom dark and cool… And if all else fails, there is always Ambien. Sleeping pills have come a long way in recent years. They are less sedating and not as likely to be physically addicting, but I am still reluctant to take them on a regular basis. Still, getting a good night's sleep is important to our overall health, so I keep them handy, especially when I travel.

There is some medical evidence that hormones can have an effect on a woman's sleep pattern, especially during perimenopause. But, in my totally unscientific opinion, I think one of the main problems with getting a good night's sleep—at least for women my age—is our inability to shut off our minds at bedtime.

There is an old John Denver song that advises: Sweet, sweet surrender/live, live without care/like the fish in the water/like the birds in the air. If only we women could learn to do that, we'd all be getting a lot more sleep.