Author Archives: CPAPstore

Sleep Apnea and Sex Problems it’s Not Just For Men

Sleep Apnea and Sex Problems: Not Just For Men

Sleep Apnea and Sex Problems it’s Not Just for Men

Sleep apnea, a condition in which breathing repeatedly stops and starts during sleep, has long been associated with various health complications. While the focus has often been on physical effects like high blood pressure, heart disease, and daytime fatigue, sleep apnea can also lead to sexual dysfunction — and it’s not just a men’s issue. Both men and women can experience challenges in their sexual health due to untreated sleep apnea, affecting intimacy, satisfaction, and overall well-being.

How Sleep Apnea Impacts Sexual Health

Sleep apnea’s repeated interruptions in breathing lead to lower blood oxygen levels, fragmented sleep, and increased stress on the body. This combination impacts physical and mental health in several ways that can affect sexual function for both men and women:

  1. Hormonal Changes: Sleep apnea disrupts the body’s normal hormone cycles. Testosterone, a hormone associated with sexual drive in both sexes, is typically replenished during deep sleep stages. In sleep apnea, these stages are interrupted, often leading to lower testosterone levels. This can result in a decreased libido for both men and women.
  2. Fatigue and Mood Changes: The chronic exhaustion caused by sleep apnea can reduce overall energy levels, making the idea of intimacy less appealing. Additionally, poor-quality sleep can lead to mood swings, irritability, and even depression — all factors that can diminish interest and satisfaction in sexual relationships.
  3. Impaired Blood Flow: For men, reduced blood oxygen levels associated with sleep apnea can lead to problems with blood flow, which is essential for erectile function. Women, too, rely on proper blood flow for arousal and pleasure, so sleep apnea-related oxygen dips can affect their experience as well.
  4. Impact on Relationships: Poor sleep, snoring, and waking up throughout the night can create distance and frustration between partners. The physical and emotional toll of these disruptions can add tension to relationships, making intimacy even more challenging.

Sexual Dysfunction in Men and Women with Sleep Apnea

For Men:

Erectile dysfunction (ED) is common among men with untreated sleep apnea. Studies have found a direct relationship between the severity of sleep apnea and the occurrence of ED, highlighting how reduced oxygen levels and hormonal disruptions interfere with sexual performance and desire. However, with effective treatment, such as continuous positive airway pressure (CPAP) therapy, many men experience improvements in both erectile function and libido.

For Women:

While sexual dysfunction in women with sleep apnea is less frequently discussed, research shows that it is just as prevalent. Women with untreated sleep apnea often report low libido, difficulty with arousal, and reduced satisfaction. These issues are also linked to hormonal disruptions and fatigue but are often less recognized and less frequently treated. Many women experience improvements in sexual health when their sleep apnea is managed, typically with CPAP therapy or other interventions.

The Role of CPAP Therapy in Improving Sexual Health

Continuous positive airway pressure (CPAP) therapy, the primary treatment for sleep apnea, keeps the airway open, allowing for uninterrupted breathing and more restful sleep. Studies show that regular use of CPAP therapy can restore natural sleep cycles, leading to improved hormone regulation, increased energy levels, and better overall mood. For many individuals, these changes translate into a renewed sense of vitality and sexual interest.

In addition, improved oxygen levels from CPAP therapy can benefit blood flow, enhancing arousal and erectile function. The mental and emotional benefits of better sleep can also improve relationships, making intimacy more achievable and enjoyable.

Addressing Sleep Apnea and Sexual Health: A Shared Journey

If you or your partner are experiencing both sleep apnea and sexual difficulties, addressing them together can be beneficial. It’s essential to recognize that these issues are interconnected and not unusual for either gender. Consulting with a sleep specialist can be the first step in addressing sleep apnea, which in turn may improve both partners’ experiences with intimacy. Other lifestyle changes, such as weight management, reducing alcohol consumption, and stress reduction, can also support both sleep quality and sexual health.

Ultimately, recognizing and treating sleep apnea can improve more than just sleep — it can also rejuvenate aspects of life that contribute to happiness, connection, and well-being. By acknowledging that these issues affect everyone, men and women alike, we can open the door to better conversations, understanding, and support for comprehensive health.

Conclusion: CPAP Therapy as a Path to Improved Sexual Health

For individuals affected by sleep apnea, CPAP therapy offers more than just relief from sleep disruptions; it can be a gateway to restoring and enhancing sexual health. By ensuring a steady supply of oxygen and improving overall sleep quality, CPAP therapy helps the body rebalance crucial hormones, reduce fatigue, and stabilize mood. These physical and emotional benefits translate into better energy, greater libido, and improved arousal and satisfaction for both men and women. CPAP therapy can also foster closer relationships by alleviating issues like loud snoring and interrupted sleep, which often strain intimacy. As sleep quality and health improve, many people find themselves more engaged and revitalized in their relationships, demonstrating that effective sleep apnea treatment with CPAP can play a critical role in rekindling intimacy and restoring sexual well-being.

Trucking Wakes Up To Sleep Apnea

Efforts under way to address condition that adds to fatigue Prevalence of sleep apnea among licensed Commercial Drivers: ■ 17% mild sleep apnea ■ 5% moderate ■ 4% severe Source: Federal Motor Carrier Safety Administration Transportation Risk Managers and Commercial Drivers are grappling with the problem of sleep apnea, a condition that contributes to daytime drowsiness, as they try to find ways to improve safety on the road. According to a Federal Motor Carrier Safety Administration commissioned study, out of 3.4 million licensed Commercial Drivers, approximately 26% of drivers suffering from some form of sleep apnea. Studies have shown that sleep apnea can severely impact driving performance by greatly increasing fatigue, boosting the risk of crashes. Though the commercial trucking industry is aware of the prevalence of sleep apnea among drivers, there still is much to be learned in the way the condition is diagnosed, treated and monitored, experts say. Sleep apnea is a condition in which the airway is constricted due to muscular relaxation while sleeping, with interruptions in breathing lasting several seconds at a time, often accompanied by loud snoring and resulting in non-restful sleep. Individuals considered at risk for sleep apnea are those with a body mass index of 30 or greater and a neck circumference of 17 inches or more, experts say, adding that such people often suffer from additional health problems related to obesity, such as diabetes and heart problems. Many people with sleep apnea don’t even know they have it, researchers say, adding that the sleep disorder often results in daytime sleepiness, which has severe effects on reflexes and cognitive and motor skills. “I promise you there are thousands of Commercial Drivers out there that have some form of sleep apnea,” said Don Osterberg, Vice President of Safety and Driver Training for Green Bay, Wisconsin-based Schneider National Inc. “Many drivers don’t want to talk about it, or are in denial that they have a medical condition, or don’t even know they have it. They are not educated on sleepiness, and they might think that daytime sleepiness is normal to them and they don’t realize it is abnormal.” Mr. Osterberg said at least 17% of drivers at Schneider are afflicted with severe sleep apnea. To deal with the issue, Mr. Osterberg said Schneider recently funded an initiative to help diagnose and treat their drivers as a way to help mitigate health care costs and reduce the crash risk on the road. As a result, Mr. Osterberg said Schneider has seen a “significant reduction” in the frequency and severity of crashes. “Making this a safety priority has paid back dividends,” he said. Drivers who are diagnosed with sleep apnea are required by the FMCSA to be “disqualified until diagnosis of sleep apnea is ruled out or has been treated successfully.”

CPAP tips and troubleshooting

CPAP tips and troubleshooting
Having trouble with your new sleep apnea device? It can take some time to get accustomed to sleeping while wearing a CPAP device. It’s natural to miss sleeping the “old way,” but there are things you can to do make the adjustment easier.
  • Make sure your CPAP device fits correctly. A correct fit makes a huge difference. Make sure the straps are not too tight or too loose and that the mask seals completely over your nose and mouth. Schedule regular appointments with your doctor to check the fit and evaluate your treatment progress.
  • Ease into it. Start by using your CPAP device for short periods during the day. Use the “ramp” setting to gradually increase air pressure. It’s normal to need several months to get used to sleeping this way.
  • Upgrade your CPAP device with customized options. Customize the mask, tubing and straps to find the right fit. Ask your doctor about soft pads to reduce skin irritation, nasal pillows for nose discomfort, and chinstraps to keep your mouth closed and reduce throat irritation.
  • Use a humidifier to decrease dryness and skin irritation. Try a special face moisturizer for dry skin. Many CPAP devices now come with a built-in humidifier.
  • Try a saline nasal spray or a nasal decongestant for nasal congestion.
  • Keep your mask, tubing and headgear clean. To ensure maximum comfort and benefit, replace CPAP and humidifier filters regularly and keep the unit clean.
  • Mask the sound of the CPAP machine. If the sound of the CPAP machine bothers you, place it beneath the bed to reduce the noise. You can also try using a sound machine or white noise machine to help you sleep.

What is central sleep apnea and what causes it?

Central sleep apnea (CSA) occurs when the brain does not send the signal to breathe to the muscles of breathing. This usually occurs in infants or in adults with heart disease, cerebrovascular disease, or congenital diseases, but it also can be caused by some medications and high altitudes. Central sleep apnea may occur in premature infants (born before 37 weeks of gestation) or in full-term infants. It is defined as apneas lasting more than 20 seconds, usually with a change in the heart rate, a reduction in blood oxygen, or hypotonia (general relaxation of the body’s muscles). These children often will require an apnea monitor that sounds an alarm when apneas occur. Central sleep apnea in children is not the same thing assudden infant death syndrome (SIDS). Under normal circumstances, the brain monitors several things to determine how often to breathe. If it senses a lack of oxygen or an excess of carbon dioxide in the blood it will speed up breathing. The increase in breathing increases the oxygen and decreases the carbon dioxide in blood. Some people with heart or lung disease have an increase in carbon dioxide in their blood at all times. When there is a chronic (long-term) increase in blood carbon dioxide, the brain starts to ignore the oxygen level and monitors the blood carbon dioxide level to determine when to take the next breath. The control of breathing also becomes slower to respond to changes in carbon dioxide levels; so when a person takes more or deeper breaths and “blows off” carbon dioxide the drive to breathe decreases and the rate of breathing decreases. As a result of slower rate of breathing, carbon dioxide builds back up in the blood and the rate of breathing increases again. The brain, slow to adjust, continues to signal for more rapid breathing until the carbon dioxide level drops too low. Breathing then slows down or stops until the carbon dioxide level rises again. This pattern of abnormal breathing is called Cheyne-Stokes breathing (after the men who described it). It is characterized by repetitive cycles of fast breathing followed by slow breathing and apnea. This breathing pattern happens when the person is awake or asleep, but becomes more of a problem when asleep. Some patients with heart failure have central sleep apnea associated with a Cheyne-Stokes pattern of breathing. Central sleep apnea usually occurs in adults with other medical problems. In infants, it usually occurs with prematurity or other congenital disorders. In both patient groups it is usually suspected by the primary care doctor. Central sleep apnea can be diagnosed with a sleep study or overnight monitoring while the patient is in the hospital. In infants, central sleep apnea is treated with an apnea alarm. This alarm monitors the infant’s breathing with sensors and sounds a loud noise when the infant experiences an apnea. The alarm usually wakes the infant and the parents. Most infants usually “out-grow” the central apnea episodes, so the alarm monitoring is stopped after the episodes resolve. In infants with other congenital problems, apnea monitoring may be needed for a longer period. In adults with central sleep apnea, the apneas are treated by treating the underlying heart disease, medication interaction, high altitude, or other primary problem.
Medically Reviewed by a Doctor on 8/27/2014

Sleep apnoea, sleepiness, inflammation and insulin resistance in middle-aged males and females

Abstract

In obese males obstructive sleep apnoea (OSA) is associated with inflammation and insulin resistance; however, findings are confounded by adipose tissue, a hormone- and cytokine-secreting organ. Our goal was to examine whether in a relatively nonobese population, OSA is associated with sleepiness and inflammation/insulin resistance, and to assess the effects of a 2-month placebo-controlled continuous positive airway pressure (CPAP) use.

77 subjects, 38 middle-aged males and post-menopausal females with OSA and 39 male and female controls, were studied in the sleep laboratory for 4 nights. Measures of sleepiness (objective and subjective), performance, serial 24-h blood samples for interleukin (IL)-6, tumour necrosis factor receptor (TNFR)-1, leptin and adiponectin, and single samples for high-sensitivity C-reactive protein (hsCRP), fasting glucose and insulin levels were obtained.

Apnoeic males were significantly sleepier and had significantly higher hsCRP, IL-6, leptin and insulin resistance than controls. Apnoeic females had significantly higher hsCRP; however, objective sleepiness, IL-6, TNFR-1, insulin resistance (Homeostatic Model Assessment index), leptin and adiponectin were similar to controls. CPAP improved subjective sleepiness, but no changes were observed in any of the biomarkers.

In conclusion, OSA is associated with sleepiness, inflammation and insulin resistance, even in nonobese males, and this association is stronger in males than in females. Short-term CPAP does not improve the inflammatory/metabolic aberrations in OSA.

  Original Article – Sleep Medicine
  • Ilia Kritikou,
  • Maria Basta,
  • Alexandros N. Vgontzas,
  • Slobodanka Pejovic,
  • Duanping Liao,
  • Marina Tsaoussoglou,
  • Edward O. Bixler,
  • Zacharias Stefanakis,
  • and George P. Chrousos
Eur Respir J January 2014 43:145155; published ahead of print April 18, 2013, doi:10.1183/09031936.00126712