Sleeplessness

Insomnia orsleeplessness is a common complaint of women as they enter into menopause.In-somnia means having trouble falling asleep or staying asleep or the feelingthat

your sleep was notadequate for you .For women who are having night sweats,their sleep is brokenby frequent a-wakening and therefore not refreshing. Generally once the

night sweats arecontrolled a normal sleep pattern returns .If it doesn't it may be,or havebecome chronic insomnia. How do you know?

if you suffer frominsomnia every night or most nights for a period of one month then you havechronic insomnia. If you're not having night sweats then it's time to look for

other causes ofsleep-lessness. Depression and anxiety disorders are the most common causes ofchronic insomnia. If you feel depressed you need to be checked by a

qualified healthcare provider. Movement disor- ders such as restless leg syndrome are second onthe list of insomnia for them,there are new med-icines that may help. Other

common causes areshift working,and pain.

In up to 30%of peoplewith chronic insomnia no cause can be identified.Medical treatment of thesepeople has generally been with sleeping pills.It is estimated that 25% of

the adult popu-lation in Americatook some type of medicines for sleep last year. It is generally agreed thatsleep-ing pills should only be in the lowest dose and for the

shortest possibletime.

Sleep hygiene isdirected at changing bad sleep habits.The recommendations arE.-Go to bed onlywhen sleepy．-Do not waitup to a specified time．-Avoid caffeine and

alcohol in theevening,etc.Theexpression"Second on the list"in the second paragraph means______.

A.the second leastimportant cause of sleeplessness

B. the second mostimportant cause of sleeplessness

C. the second on thedoctor's list about sleepless people

D. the second on thewriter's list recording sleeplessness