Insomnia Treatment for PCOS: A Comprehensive Guide

pcos insomnia treatment

Insomnia, a silent companion of the restless night, often weaves its intricate dance with Polycystic Ovary Syndrome (PCOS). As the moon hangs in the quiet sky, those affected by PCOS find themselves entangled in a struggle for restful sleep. In this guide, we’ll explore the nuances of insomnia treatment tailored specifically for individuals with PCOS with lifestyle modifications, herbal remedies and much more.

Understanding PCOS And Its Symptoms Understanding PCOS Symptoms 

Polycystic Ovary Syndrome (PCOS) is a hormonal disorder that affects people with ovaries. The symptoms of PCOS can vary, and not everyone with PCOS will experience the same symptoms. However, some common symptoms include:

  • Irregular Menstrual Cycles: Women with PCOS often have irregular or absent menstrual periods. This is due to irregular ovulation.
  • Excess Androgen Levels: Elevated levels of androgens (male hormones) can lead to symptoms such as acne, oily skin, and hirsutism (excessive hair growth in areas where men typically grow hair, such as the face, chest, and back).
  • Polycystic Ovaries: The ovaries may contain small cysts, which are fluid-filled sacs. These cysts are immature follicles, and despite the name “polycystic,” not everyone with PCOS will have visible cysts.
  • Weight Gain: Many individuals with PCOS experience weight gain or have difficulty losing weight. This is often related to insulin resistance.
  • Insulin Resistance: PCOS is often associated with insulin resistance, a condition where the body’s cells don’t respond effectively to insulin. This can lead to elevated insulin levels, which can contribute to weight gain and other PCOS symptoms.
  • Fatigue: Some people with PCOS may experience fatigue or low energy levels, possibly due to hormonal imbalances.
  • Hair Loss: Thinning hair or male-pattern baldness can occur in some individuals with PCOS.
  • Skin Issues: Besides acne, PCOS may be associated with skin discoloration or skin tags.

It’s important to note that not everyone with PCOS will experience all of these symptoms, and the severity of symptoms can vary. Additionally, some of these symptoms may be present in individuals without PCOS, so it’s essential to consult with a healthcare professional for a proper diagnosis and appropriate management.

Link Between PCOS And Insomnia

The link between PCOS (Polycystic Ovary Syndrome) and insomnia is complex and multifaceted, involving hormonal imbalances, metabolic factors, and lifestyle influences. Several key factors contribute to the connection between PCOS and insomnia:

  • Hormonal Imbalances: PCOS is characterized by hormonal disruptions, including elevated levels of androgens (male hormones) and insulin resistance. These imbalances can affect the regulation of sleep hormones such as melatonin, leading to difficulties in falling asleep or maintaining a regular sleep pattern.
  • Irregular Menstrual Cycles: Women with PCOS often experience irregular menstrual cycles due to irregular ovulation. Hormonal fluctuations throughout the menstrual cycle can impact sleep patterns and contribute to insomnia.
  • Hyperinsulinemia and Insulin Resistance: Many individuals with PCOS have insulin resistance, which means their bodies have difficulty using insulin effectively. Insulin resistance can lead to higher levels of insulin in the bloodstream, affecting sleep by disrupting the balance of other hormones involved in sleep regulation.
  • Obesity: PCOS is frequently associated with obesity, and excess weight can be a contributing factor to both PCOS and sleep disturbances. Obesity is linked to an increased risk of sleep apnea and other sleep-related disorders, which can contribute to insomnia.
  • Stress and Mental Health: The challenges of living with a chronic condition like PCOS, coupled with hormonal fluctuations, may contribute to increased stress and anxiety levels. Stress and mental health issues can be significant contributors to insomnia.
  • Lifestyle Factors: Unhealthy lifestyle habits, such as lack of physical activity, poor diet, and irregular sleep patterns, can exacerbate both PCOS symptoms and insomnia. Addressing these lifestyle factors through positive changes can have a positive impact on both conditions.

It’s important for individuals with PCOS experiencing insomnia to consult with healthcare professionals. Treatment approaches may include managing hormonal imbalances, addressing insulin resistance through lifestyle changes and medications, and adopting healthy sleep habits.

Important Strategies And Lifestyle Modifications For Insomnia Management Important Strategies And Lifestyle Modifications For Insomnia Management 

Insomnia can be a common issue for women with Polycystic Ovary Syndrome (PCOS), and addressing it often requires a holistic approach. Here are some strategies that may help manage insomnia in women with PCOS:

Healthy Sleep Hygiene

    • Establish a consistent sleep schedule by going to bed and waking up at the same time every day.
    • Create a relaxing bedtime routine to signal to your body that it’s time to wind down.
    • Ensure your sleep environment is comfortable, cool, and dark.

Regular Exercise

    • Engage in regular physical activity, but try to complete it a few hours before bedtime to avoid stimulating your body too close to bedtime.
    • Exercise has been shown to improve sleep quality and reduce symptoms of insomnia.

Balanced Diet

    • Adopt a balanced and nutritious diet. Avoid large meals, caffeine, and heavy snacks close to bedtime.
    • Consider incorporating foods that may positively affect sleep, such as those rich in tryptophan, like turkey, dairy, and nuts.

Stress Management

    • Practice stress-reducing techniques like deep breathing, meditation, or yoga.
    • Identify and address sources of stress in your life. PCOS itself can be stressful, so finding effective coping mechanisms is crucial.

Limit Stimulants

    • Reduce or eliminate the consumption of stimulants such as caffeine and nicotine, especially in the hours leading up to bedtime.

Light Exposure

    • Increase exposure to natural light during the day, particularly in the morning. This helps regulate your body’s internal clock.
    • Minimize exposure to bright screens and artificial light in the evening, as they can interfere with the production of the sleep hormone melatonin.


    • Consult with a healthcare professional about the potential benefits of supplements such as melatonin or magnesium, which may aid in promoting better sleep.

Medical Evaluation

    • If insomnia persists, consult with a healthcare provider to rule out any underlying medical conditions contributing to sleep disturbances.

Hormone Regulation

    • Work with your healthcare provider to manage hormonal imbalances associated with PCOS, as they can impact sleep patterns.

Cognitive Behavioral Therapy for Insomnia (CBT-I)

    • Consider seeking help from a trained therapist for CBT-I, a structured program that addresses thoughts, behaviours, and routines affecting sleep.

It’s important to note that individual responses to these strategies may vary, and consulting with a healthcare professional is advised to develop a personalized approach tailored to your specific needs and circumstances.

Sleeping Aids And Remedies To Manage Insomnia Sleeping Aids And Remedies To Manage Insomnia 

While addressing the root causes of insomnia in women with Polycystic Ovary Syndrome (PCOS) is crucial, in some cases, sleep aids may be recommended under the guidance of a healthcare professional. It’s important to note that self-prescribing or using sleep aids without proper supervision can have adverse effects. Here are some common sleep aids that may be considered:

  • Melatonin
    Melatonin is a hormone that regulates sleep-wake cycles. It is available as a supplement and can be used to help reset the body’s internal clock. Consult with a healthcare provider to determine the appropriate dosage.
  • Herbal Remedies
    Certain herbal remedies, such as valerian root, chamomile, or passionflower, are believed to have mild sedative effects. However, their efficacy can vary, and it’s essential to consult with a healthcare professional before using them.
  • Over-the-Counter Sleep Aids
    Some over-the-counter sleep aids, like diphenhydramine (found in certain antihistamines) or doxylamine, may help induce drowsiness. However, they should be used cautiously and only under the supervision of a healthcare provider due to potential side effects.
  • Prescription Medications
    In some cases, prescription medications, such as benzodiazepines or non-benzodiazepine hypnotics, may be prescribed for short-term use. These should only be used under the close supervision of a healthcare professional due to the risk of dependence and other side effects.
  • Cognitive Behavioral Therapy for Insomnia (CBT-I)
    CBT-I is a structured therapeutic approach that aims to address the underlying thoughts, behaviours, and routines contributing to insomnia. It is considered a first-line treatment for chronic insomnia and may be recommended by healthcare providers.

Before using any sleep aids, it is crucial to consult with a healthcare professional, preferably one familiar with PCOS and its associated sleep issues. 


In conclusion, addressing PCOS-related insomnia requires a multifaceted approach. From understanding the intricate hormonal imbalances to adopting lifestyle changes and seeking professional guidance, each step plays a crucial role in unlocking restful nights. By embracing a holistic strategy, individuals can reclaim control over their sleep and overall well-being.

If you are facing PCOS related issues, pcos treatment at HerMantra can help. Book your free trial online pcos treatment session now.