Too tired for sex? Join the club. Up to 50% of U.S. adults skip or avoid sex
because they're too tired, recent polls show.
It’s no wonder. The workday can extend long into the night, many couples
have children and pets to tend to, and everyone has diversions that tempt their
attention away from their partners -- and from sleep.
"We’re a 24/7 society. We're burning the candle at both ends -- most of us
-- so we are tired," says William Kohler, MD, director of Florida Sleep
“Pain and sleep are integrally connected,” he says. “Chronic pain is very
common in the population and even more common in people who have poor sleep,
and it sort of becomes a vicious cycle.” Pain affects your ability to sleep,
and the lack of sleep makes the pain seem worse.
The Link Between Pain and Sleep Problems
Exactly how the two conditions are connected varies from person to person.
“You have to determine what is the chicken and what is the egg,” he says. “Is
pain a manifestation of, or made worse by, a sleep disorder or is pain causing
the poor quality of sleep?”
Charles Bae, MD, a neurologist in the Sleep Disorders Center at the
Cleveland Clinic in Ohio, puts it this way: “Pain can be the main reason that
someone wakes up multiple times a night, and this results in a decrease in
sleep quantity and quality, and on the flip side, sleep deprivation can lower
your pain threshold and pain tolerance and make existing pain feel worse.”
“If you have arthritis and roll or turn while you are sleeping, pain can
wake you up,” says David S Kloth, MD, the founder, medical director, and
president of Connecticut Pain Care in Danbury, and a past president of the
American Society of Intervention Pain Physicians.
The first step is to figure out if the lack of sleep is causing pain or if
the pain is causing a lack of sleep, and then you treat whichever came first,