title: Night sweats, sleep disturbance, and depression associated with diminished libido in late menopausal transition and early postmenopause: baseline data from the Herbal Alternatives for Menopause Trial (HALT).
abstract: OBJECTIVE
  The objective of the study was to evaluate the association of depression, sleep disturbance, and menopausal symptoms with diminished libido.
  
  
  METHODS
  Data from a 2001-2002 baseline survey of 341 peri- and postmenopausal women, aged 45-55 years, participating in a randomized trial, was analyzed. Eligibility included at least 2 hot flashes and/or night sweats per day and no hormone therapy for at least the prior 3 months. The survey evaluated sexual function, depression, sleep, and vasomotor symptoms. We examined the association between these factors, using multivariate regression models.
  
  
  RESULTS
  Of 341 women, 64% had diminished libido, 18% had moderate to severe depression, and 43% had poor sleep quality. Women averaged 4.6 hot flashes and 1.9 night sweats per day. Depressive symptoms (P = .003), poor sleep (P = .02), and night sweats (P = .04) were significantly associated with diminished libido.
  
  
  CONCLUSIONS
  Factors associated with diminished libido in midlife are complex but include depression, disturbed sleep, and night sweats, all common symptoms of the menopausal transition and early menopause.
authors.affiliation: Center for Health Studies, Group Health Cooperative, University of Washington School of Medicine, Seattle, WA, USA.
authors.forename: Susan D
authors.initials: SD
authors.lastname: Reed
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Newton
authors.forename: Andrea Z
authors.initials: AZ
authors.lastname: LaCroix
authors.forename: Lou C
authors.initials: LC
authors.lastname: Grothaus
authors.forename: Kelly
authors.initials: K
authors.lastname: Ehrlich
mesh_terms: D003863:Depression / Q000175:diagnosis / Q000503:physiopathology*; D004414:Dyspareunia / Q000503:physiopathology; D005260:Female; D019584:Hot Flashes / Q000503:physiopathology*; D006801:Humans; D007989:Libido / Q000502:physiology*; D008593:Menopause / Q000502:physiology; D008875:Middle Aged; D017698:Postmenopause / Q000502:physiology; D016032:Randomized Controlled Trials as Topic; D007319:Sleep Initiation and Maintenance Disorders / Q000503:physiopathology*; D011795:Surveys and Questionnaires