Departamento de Psicobiologia, Universidade Federal de São Paulo, Rua Napoleão de Barros, 925 - CEP: 04024-002, São Paulo, Brazil.
Departamento de Psicobiologia, Universidade Federal de São Paulo, Rua Napoleão de Barros, 925 - CEP: 04024-002, São Paulo, Brazil; Sleep Institute, Rua Marselhesa, 500 - CEP: 04020-060, São Paulo, Brazil.
Sleep Med Clin. 2023 Dec;18(4):435-448. doi: 10.1016/j.jsmc.2023.06.005. Epub 2023 Jul 26.
Research about the effects of hormonal contraceptives on sleep has been performed but is subjected to important levels of methodological heterogeneity. Hormonal contraceptives impact sleep, but the direction of this association is not clear. Most studies describe a negative sleep profile among contraceptive users, including increased sleepiness, insomnia symptoms, decreased sleep efficiency, and a reduced overall sleep quality. Hormonal intrauterine contraceptives are associated with less negative effects. More research on the field, especially randomized controlled trials, is needed to increase the level and certainty of evidence about the effects of hormonal contraceptives on sleep.
关于激素避孕药对睡眠影响的研究已经进行过，但存在重要的方法学异质性。激素避孕药会影响睡眠，但这种关联的方向尚不清楚。大多数研究表明，使用避孕药的女性睡眠质量较差，包括嗜睡、失眠症状、睡眠效率降低和整体睡眠质量下降。宫内激素避孕药的负面影响较小。需要更多关于该领域的研究，特别是随机对照试验，以提高关于激素避孕药对睡眠影响的证据水平和确定性。
