Thank you for posting your query.
in your case is suggestive of obstructive sleep apnoea
(OSA). This can be due to several causes in the throat region, including enlarged adenoids
There is no evidence to suggest a link between low estrogen
level and enlargement of adenoids.
An evaluation by ENT doctor can help you identify the exact reason for your symptoms.
In most cases of OSA, surgery is not required. It is treated with CPAP machine, which provides oxygen
during sleeping time.
If any obstructive pathology is found or if CPAP does not work, surgery may be required.
I hope it helps. Please get back if you have any more queries.
Dr Sudhir Kumar MD DM