Everyone I know seems to be complaining that they don't sleep well. I don't sleep well either but it's because I have fibromyalgia. What causes poor sleep with this condition? Is it different from the sleep issues that other people are struggling with?

Sleep disturbances and sleep disorders do seem to be on the rise in the United States. The reasons for this are many and varied and poorly understood. Some people have trouble falling asleep while others have no trouble dropping off to sleep but can't stay asleep.

Hormone shifts such as occur with menopause are well-known factors in early morning (3 to 5 a.m.) wakefulness. It's possible that hormone deficiencies or changes have an effect on sleep in patients with fibromyalgia. And since more than 80 per cent of the people who are diagnosed with fibromyalgia are women, there could be multiple hormonal issues involved.

Some experts believe that the electronic age has something to do with sleep disruptions. Research is underway to take a look at this. Poor diet, obesity, sedentary lifestyles and lack of exercise can also contribute to sleep problems.

It's likely that there are multiple factors with any sleep disturbance. Getting enough sleep is important. If you are having trouble staying awake (or even just attentive) during the day, seek medical help.

There could be a physical reason for your sleep disturbance that could be changed easily. If it's part of your fibromyalgia and you are having other symptoms, it might be time to review your management program for this chronic condition. Either way, talk with your physician about what's best for you. Don't wait until sleep deprivation results in other health concerns.