Would you like an all-round diagnosis?

Call us and fix an appointment in our clinic in Bonn, or use our contact form.

Working Hours

Mon: 7:00-13:00 + 15:00-19:00
Tue: 7:00-13:00 + 15:00-18:00
Wed: 7:00-13:00
Thur: 7:00-13:00 + 15:00-18:00
Fri: 7:00-14:00
I am pleased to be your competent partner in an advisory capacity. Yours sincerely,
MD Peter Strauven, MSc.
M.D. Peter Strauven MSc. | Sleep medicine
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Sleep medicine

Sleeping disorders (known in medicine in approximately 250 different forms) have a wide range of causes, some of which are very unusual. Between 10-15% of all sleeping disorders in Germany are caused by an illness, for instance the Apnea Syndrome (breathlessness syndrome) or hormonal imbalance.

In order to find a solution we rely on an all-round diagnosis and we devote quite a lot of time to it. This is because only a calm, highly focused and detailed questioning (anamnesis) can establish whether the case is of a pathological sleeping disorder that requires further investigation (such as sleep measuring, hormonal tests) or whether other steps are necessary.

Possible further tests could be:

  • A thorough medical examination (structure of the throat, pharynx, tongue, nasal ventilation, teeth-bite, joint of the jaw, heart, lungs, abdomen etc.)
  • Out-patient sleep examination (somnography), in special cases also in hospitalized conditions (polysomnography)
  • Hormonal tests (thyroid, sleeping hormone melatonin, cortisol and DHEA as a check of the adrenal gland, serotonin, testosterone, estradiol, progesterone, among others)
  • Laboratory tests for inflammations, immunity disorders, anemia, full blood picture (special analysis of depots of minerals)
  • Ultrasound check of the thyroid (e.g. for autoimmune thyroiditis among others); ultrasound of the abdomen or the heart in case of specific indications;
  • Heart and blood circulation tests (blood pressure, heart rate with oxygen saturation, ECG, test of the lungs function, angiography);
  • Bioelectrical impedance measurement (involving muscle-, bone-, fat-measurement).

The most common complaints in a sleeping disorder are: daily tiredness, “one-instant sleep” (the most frequent cause of serious road accidents), morning headache, reduced efficiency, decreasing ability to cope with workload, concentration or memory disorders, irritability, sadness and depression, snoring with or without breathing pauses, restless legs syndrome, new unexplained heart or circulation disorders, high blood pressure, cardiac arrhythmia, work in shifts. Obesity leads to sleeping disorders (Apnea syndrome), especially after the age of 50.

I have been certified by the Federal Chamber to be your special adviser on medical issues related to sleep, as well as to operate special equipment, for instance the somnograph. Eligible patients will also enjoy the allowance to have their costs reimbursed by their insurer (GOÄ-Ärzte 1996).

My concept for an investigation of sleeping disorders:

  • You fix an appointment with my private clinic;
  • State-insured patients are welcome; an introductory orientation conversation is always possible (30 Min., 80 Euro);
  • I hold a targeted and detailed interview with you (anamnesis, around 1 hour).

Depending on your illness history and complaints, we proceed with screening

  • In case of doubt about a pathological sleeping disorder I usually perform a simple somnography that can also be done at your home. It does not include measurement of brain currents.
  • How a somnography works: after a short briefing you are given a small recorder, similar to a Holter/prolonged ECG appliance. It is easy to operate and you turn it on in the evening just before bed-time. The sleep will not be affected. In addition the patient receives two standard questionnaires, which are very important for the assessment of the sleep. You should bring the recorder next morning for a reading of the findings.
  • If there is evidence of a measurable pathological sleeping disorder, the patient is referred to a specialist for a polysomnography in conditions of a short hospitalization (one night). A date will be fixed as soon as possible.
  • An additional otorhinolaryngological screening is a must in certain cases (examination of the nose, tongue or pharynx). This is only done in cooperation with an otorhinolaryngology specialist also trained in sleep medicine. An appointment is possible at short notice.
  • Additional hormone analysis (see also cortisol, melatonin, serotonin-5-HTP, progesterone, estradiol, DHEA, testosterone, TSH – thyroid) might be necessary in certain cases.

Important other modules that support the success of the treatment:

  • Specialized “advice on sleep”: 24-hour day and night biorhythm (how you can improve a broken biorhythm);
  • Stress management;
  • Advice in nutrition (biorhythm, type of constitution): healthy food intake must not exceed the calories you burn in one day;
  • Advice on social environment (profession, family, friends, hobbies);
  • Individual assessment, e.g. advice on physical exercise with a personal coach, for instance with your partner: www.act-if.de or www.outdoorgym.de

Your MD Peter Strauven

I am pleased to be your competent partner in an advisory capacity. For an all-round diagnosis, call us at 0228 63 49 40 and fix an appointment in our clinic in Bonn.