Polycystic Ovary Syndrome (PCOS) brings along with it a host of other diseases, one of which is Obstructive Sleep Apnea (OSA). While PCOS can be managed with medications and lifestyle modifications, if it has paved the way to OSA, then you need to follow a different course of treatment simultaneously. As per the current medical guidelines regarding PCOS, “Obese women suffering from PCOS should be screened for OSA,” Dr Sibasish Dey, Head of Medical Affairs, South Asia, ResMed told the Onlymyhealth team.
He added, “If someone with PCOS is diagnosed with OSA, they should be treated for OSA as well to avoid long-term complications.” This is necessary because PCOS is a major risk factor for sleep apnea. Assessing 17 studies with a total of 648 participants who had PCOS, a study conducted by the American Sleep Apnea Association, found that 35% of them had OSA, which is a significant portion.
Treating Obstructive Sleep Apnea In Women With PCOS
Suppose you don’t know what OSA is. In that case, the Sleep Foundation defines it as a sleep disorder characterised by repeated interruptions in breathing during sleep due to a partial or complete blockage of the upper airway. This leads to symptoms such as loud snoring, pauses in breathing, daytime sleepiness, morning headaches, mood changes, cognitive issues, and increased risks of hypertension, heart disease, and stroke.
Treatment options for OSA range from lifestyle changes and positional therapy to medical interventions like CPAP therapy, oral appliances, or surgery. While the course of action for each individual with PCOS and OSA will be different, Dr Dey suggested a few steps that will help women with PCOS who struggle with falling asleep:
Prioritise Sleep
While it can be compelling to sacrifice sleep for work, study, socialising, or exercise, it's crucial to prioritise sleep. Dr Dey suggested, “Neglecting sleep hygiene can negatively impact the duration and quality of your rest. Establishing healthy habits is essential for experiencing a full night's sleep and waking up rejuvenated.”
Establishing Consistency And Sleep Hygiene
“Maintaining a consistent wake-up and bedtime routine helps the body adapt to a healthier sleep schedule,” said Dr Dey, adding that “Establishing a regular sleep regimen not only prolongs sleep duration but also enhances its quality, ensuring a more restorative rest.”
Enhancing Sleep Environment
Creating a serene, cool, and low-lit sleeping area is advised for optimal rest. Dr Dey highlighted The ResMed Sleep Survey 2024, which showed that 25% of Indian respondents say screens and electronic devices keep them up at night.
He recommended, “It is imperative to put electronics away an hour or more before going to bed. Keeping the bedroom tidy and reserving it solely for sleep can improve sleep quality.”
Identifying Sleep Disorders
Sleep apnea may manifest with various symptoms, particularly prevalent among women with PCOS. That is why “It's imperative to undergo testing for sleep disorders if diagnosed with PCOS,” said Dr Dey. Untreated OSA with PCOS can pave the way for health risks such as hypertension, type 2 diabetes, and cardiovascular issues. Dr Dey recommended seeing a sleep specialist who may evaluate your health based on symptoms, sleep history, and signs.
Incorporating Relaxation Methods
Finally, Dr Dey elucidated that elevated anxiety and stress levels can significantly disrupt sleep patterns. “Integrating relaxation practices into daily routines can lead to restful sleep. Techniques such as deep breathing exercises, mindfulness, and meditation may reduce stress and anxiety, promoting easier sleep initiation and enhancing mood,” he added.
Also Read: Sleep Apnea Affects 104 Million People In India: AIIMS Study
Managing OSA in women with PCOS is crucial for preventing long-term complications. Dr Sibasish Dey emphasises the need for screening and treating OSA in PCOS patients to avoid health risks associated with untreated sleep apnea. Lifestyle modifications, consistent sleep routines, a conducive sleep environment, and relaxation techniques are essential for improving sleep quality and overall well-being in women dealing with PCOS and OSA.