PMOS in OSA Pilot Study

Inclusion Criteria:

* Women 18-40 years old
* PMOS diagnosis
* Sleep Apnea (AHI\>5) diagnosed by home sleep test (WatchPAT One)
* BMI\< 50.0

Exclusion Criteria:

* Regular adherent CPAP use per clinical guidelines
* Any history of bleeding disorders
* Current use of anti-coagulant medication
* Hemoglobin \<11.6 g/dL
* Currently pregnant, pregnant within the last year, or gave birth within the last year
* Any underlying disease likely to limit life span and/or increase risk of interventions including cardiovascular disease (e.g. unstable angina, heart failure requiring hospitalization in the past 6 months, significant heart block or arrhythmias, NYHA Class\>2), pulmonary disease with dependence on oxygen or daily use of bronchodilators, cancer requiring treatment in the past 5 years unless the prognosis is considered good, active or chronic infection, thyroid disease and other endocrine disorders (e.g. Cushing syndrome, acromegaly), hepatitis or other chronic gastrointestinal disease (pancreatitis, inflammatory bowel disease), renal disease, significant anemia, recent surgery or significant abdominal surgery, major psychiatric or any eating disorder, acute coronary syndrome or stroke in the past 6 months