Insomnia can occur during menopause and can include difficulty falling asleep, waking up repeatedly during sleep, or having more dreams that affect sleep quality and sleep duration. Menopause generally occurs between the ages of 45-55, and is more common in women. It is caused by a decline in estrogen secretion, and patients may also experience other symptoms, such as palpitations, sweating, chest tightness, shortness of breath, and some patients may also experience menopausal anxiety disorder and menopausal depression, which can also cause insomnia. Menopausal anxiety disorder can be accompanied by psychological manifestations such as anxiety, panic, irritability, and menopausal depression, while psychological symptoms such as depressed mood and disinterest in anything may occur, mainly with anti-anxiety and antidepressant treatment.