Treating Snoring in Polycystic Ovary Syndrome (PCOS)
As we agreed, the main features of PCOS include elevated androgen levels in the blood, a form of insulin resistance, and possible changes in cortisol and melatonin secretion, which stem from altered function of the pituitary-adrenal axis and other glands. These changes are often associated with sleep disturbances and obstructive sleep apnea (OSA).
So, what are the symptoms of sleep apnea?
Obstructive sleep apnea has both nighttime and daytime symptoms.
Snoring is the most common symptom, but not everyone who snores has OSA.
Nighttime symptoms include:
- Snoring
- Choking/gasping during sleep
- Dry mouth
- Teeth grinding (bruxism)
- Insomnia
- Breathing pauses
- Drooling
Daytime symptoms include:
- Excessive sleepiness
- Headaches
- Mood and personality changes
- Poor concentration
- Irritability (feeling triggered by the smallest things)
- Low libido
Psychological and behavioral factors play a big role here. Anxiety, depression, smoking, and lack of physical activity all contribute to the condition, and they are often caused by the distressing symptoms of the syndrome.
How is sleep apnea treated?
First, you may need to visit an ENT (ear, nose, and throat) specialist to determine whether you’re experiencing obstructive sleep apnea or simply have nasal or throat obstruction.
A sleep center can thoroughly assess your condition. Milder cases of obstructive sleep apnea often respond well to lifestyle changes toward a healthier routine.
If you smoke or are exposed to secondhand smoke, note that smoking contributes to sleep apnea by reducing blood oxygen levels and causing inflammation in the airway lining.
Other contributing factors include:
- Allergies and respiratory infections (e.g., colds, bronchitis, pneumonia), which can also cause airway inflammation.
- Certain medications like sedatives.
- Obesity: A neck circumference over 40 cm may increase a woman’s risk of developing obstructive sleep apnea.
- Sleeping on your back or stomach can restrict breathing and narrow the airway.
There are types of breathing devices prescribed by doctors—often the most common treatment for sleep apnea. These include a soft mask worn over the nose that delivers a continuous supply of pressurized air to prevent airway blockage.
We emphasize that the magical solution for most cases of PCOS is shifting to an active, healthy lifestyle. This is an essential part of the treatment protocol. Know the extent of your ovarian cysts, consult your doctor, explore your treatment options, and understand that whether your treatment is medical or surgical, you must change your lifestyle.