Insomnia in women during menopause is mostly caused by endocrine dysfunction and can also be seen in menopausal anxiety disorder and menopausal depression.1. Menopausal anxiety disorder can appear as sleep disorder, mainly manifested as difficulty in falling asleep, and may also appear to have more dreams during sleep, affecting sleep quality, while anxiety, irritability, panic and fear may appear, as well as dizziness, headache, dizziness, precordial discomfort, chest tightness, shortness of breath, and may also appear, Patients with menopausal depression mainly show disinterest in everything, depressed mood, and in some severe cases, they may have light-hearted thoughts, while patients may have sleep disorders, mainly manifesting as easy waking up during sleep, and may also have more dreams during sleep, affecting sleep quality. 3. Anxiety disorders are mainly treated with oral tandospirone and buspirone anti-anxiety treatment; patients with menopausal depression generally apply citalopram.