*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or see this week's feature L: Laxatives.

Sleep Apnoea

Sleep apnoea is when your breathing stops and starts while you sleep. The most common type is called obstructive sleep apnoea (OSA). Sleep apnoea needs to be treated because it can lead to more serious problems.

Check if you have sleep apnoea

Symptoms of sleep apnoea mainly happen while you sleep.

They include:

breathing stopping and starting
making gasping, snorting or choking noises
waking up a lot
loud snoring

During the day, you may also:

feel very tired
find it hard to concentrate
have mood swings
have a headache when you wake up

It can be hard to tell if you have sleep apnoea. It may help to ask someone to stay with you while you sleep so they can check for the symptoms.

See a GP if:

You have any of the main symptoms of sleep apnoea, such as:

your breathing stops and starts while you sleep
you make gasping, snorting or choking noises while you sleep
you always feel very tired during the day

If someone else has seen you have the symptoms, it can help to bring them with you to the GP.

Sleep apnoea can be serious if it's not diagnosed and treated.

Getting tested for sleep apnoea

If a GP thinks you might have sleep apnoea, they may refer you to a specialist sleep clinic for tests.

At the clinic, you may be given devices that check things like your breathing and heartbeat while you sleep.

You'll be asked to wear these overnight so doctors can check for signs of sleep apnoea.

You can usually do this at home, but sometimes you may need to stay in the clinic overnight.

The test can show if you have sleep apnoea and how severe it is. This is based on how often your breathing stops while you sleep (AHI score).

Treatments for sleep apnoea

Sleep apnoea can sometimes be treated by making lifestyle changes like losing weight, giving up smoking and reducing how much alcohol you drink.

But many people need to use a device called a CPAP machine. You'll be given this for free on the NHS if you need it.

CPAP machine

A CPAP machine gently pumps air into a mask you wear over your mouth or nose while you sleep.

It can help:

improve your breathing while you sleep by stopping your airways getting too narrow
improve the quality of your sleep and help you feel less tired
reduce the risk of problems linked to sleep apnoea, such as high blood pressure

Using a CPAP machine may feel strange or awkward at first, but try to keep using it. It works best if you use it every night.

Tell your doctor if you find it uncomfortable or hard to use.

Other treatments

Other treatments sometimes used for sleep apnoea include:

a gum shield-like device that holds your airways open while you sleep (mandibular advancement device)
surgery to help your breathing, such as removing large tonsils

These treatments may not work as well as a CPAP machine.

Find out more

Things you can do to help with sleep apnoea

If you've been diagnosed with sleep apnoea, there are some things you can do to help.

These may be all you need to do if your sleep apnoea is mild.

Do

try to lose weight if you're overweight
exercise regularly - being active can improve your symptoms and help you keep to a healthy weight
have good sleep habits like making sure your bedroom is dark and quiet, and going to bed and waking up at the same time each day
sleep on your side - try taping a tennis ball to the back of your sleepwear, or buy a special pillow or bed wedge to help keep you on your side

Don't

do not smoke
do not drink too much alcohol - especially shortly before going to sleep
do not take sleeping pills unless recommended by a doctor - they can make sleep apnoea worse

Sleep apnoea can cause other problems

Without treatment, sleep apnoea can lead to other problems including:

high blood pressure
a higher chance of having a stroke
type 2 diabetes
heart disease
depression or mood changes
a higher chance of having a serious accident caused by tiredness, such as a car accident
difficulty concentrating at work or school

Sleep apnoea can also be difficult for your partner and put a strain on your relationship with them.

Driving and sleep apnoea

You may need to tell the DVLA about your sleep apnoea.

If sleep apnoea has been confirmed, you must not drive until symptoms like feeling very tired are under control.

Check the rules for driving if you have sleep apnoea on GOV.UK

Causes of sleep apnoea

Sleep apnoea happens if your airways become too narrow while you sleep. This stops you breathing properly.

Sleep apnoea has been linked to:

obesity
having a large neck
getting older - although children and young adults can also get it
having other family members with sleep apnoea
smoking and drinking alcohol
having large tonsils or adenoids
sleeping on your back
a condition called chronic obstructive pulmonary disease (COPD)

Find out more

Sleep Apnoea Trust: support groups

OutUK's A to Z of Gay Health continues and you can read this week's feature L: Laxatives. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this particular topic you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
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