Systematic Reviewhigh evidence

Pharmacological and non-pharmacological treatments for chronic insomnia in perimenopausal and postmenopausal women: a systematic review and meta-analysis.

Sleep medicine·October 1, 2026·PMID 42247852

Why it matters

Chronic insomnia in menopause is common and impacts quality of life, cognition, mood, and cardiovascular risk. This review clarifies that non-pharmacological strategies, especially CBT-I and arousal-reducing techniques, are effective first-line options, while pharmacotherapy lacks robust long-term data.

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