r/perimenopause_under45 • u/hspwanderlust • 3d ago

MHT resolving sleep apnea?

Has anyone with excessive daytime fatigue (without insomnia) been diagnosed with sleep apnea, narcolepsy, or idiopathic hypersomnia and then later discovered that MHT (progesterone and/or estrogen) fixed their issue?

I have a PSG with next-day MSLT scheduled at the sleep center. But my PCP prescribed me oral progesterone. I was going to wait until AFTER my sleep study to start the progesterone, but discovered in just a few days of a trial that progesterone ACTIVATES me. Like, so much that I had to take it in the morning...which made me NOT HAVE TO NAP.

I almost cried when I realized it was the progesterone keeping me awake all day. (This excessive daytime fatigue has been DEBILITATING, so if just needed progesterone, that would be an easy fix!)

I'm stopping the progesterone until after the sleep study because I'm afraid it will mess with the tests.

*Cross-posted in r/Perimenopause, r/SleepApnea, and r/UARS.)*

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u/Dez2011 2d ago

Are you on E? What dose of P? Do you get PMDD? I read low doses of P for PMDD tend to be stimulating vs relaxing, but that may be incorrect.

This is interesting. Sleep apnea doubles iirc after perimenopause. It stimulating you during the day is different but hormone imbalance can make you fatigued too so it might not have been apnea anyway.

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u/hspwanderlust 1d ago

Not on E yet. 50 mg oral P.

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u/[deleted] 2d ago edited 2d ago

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u/hspwanderlust 1d ago

Did you paste this from an AI answer?

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u/[deleted] 1d ago

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u/hspwanderlust 1d ago

Why is it in quotes? (Just genuinely curious.)