Progesterone impact on sleep describes the profound influence of this steroid hormone, particularly through its neurosteroid metabolite allopregnanolone, on sleep architecture, duration, and quality. Progesterone is widely recognized for its sedative and anxiolytic properties, primarily due to its modulatory action on the central nervous system. Optimal progesterone levels are associated with reduced sleep onset latency and increased time spent in non-REM deep sleep stages, promoting restorative rest. Clinically, its administration is often utilized to address insomnia and anxiety-related sleep disturbances, especially in women during perimenopause.
Origin
This concept stems from clinical endocrinology and sleep medicine, recognizing the significant non-reproductive, neuroactive roles of progesterone. “Progesterone” is the hormone, and “Impact on Sleep” defines its physiological effect on the rest cycle.
Mechanism
Progesterone’s primary mechanism for influencing sleep involves its conversion into allopregnanolone, which acts as a positive allosteric modulator of the GABA-A receptor. This action enhances the inhibitory effects of GABA, leading to central nervous system depression, which facilitates sedation and the transition into sleep. Furthermore, progesterone has thermoregulatory effects, raising core body temperature, which can also influence the timing and depth of the sleep cycle.
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