What to Expect in the First Month of Using a CPAP Machine

Adjusting to a CPAP machine? Learn what to expect in the first month, from improved sleep to common challenges and helpful adjustment tips.

Health Apr 23, 2025 18 Add to Reading List

What to Expect in the First Month of Using a CPAP Machine

CPAP use could help people lose weight, improve energy levels, and transform their sleep—but the first month of treatment can be an adjustment period. If you’ve recently been diagnosed with sleep apnea and prescribed a CPAP (Continuous Positive Airway Pressure) machine, you may wonder what to expect as you begin therapy.

The initial weeks of CPAP use come with challenges, benefits, and surprising side effects. Some users experience immediate relief, while others need time to adapt. In this blog, we’ll walk you through the first month of CPAP therapy, including common struggles, long-term benefits, and tips to make the transition smoother.

Week 1: The Adjustment Phase

1. Getting Used to the Mask

The first hurdle is wearing the CPAP mask. Many users report:

Discomfort or claustrophobia – The sensation of a mask strapped to your face can feel strange at first.

Air pressure sensitivity – Some machines start with a "ramp-up" feature, gradually increasing pressure to help you adjust.

Dry mouth or nasal congestion – A heated humidifier can help if your machine has one.

Tip: Wear the mask during the day while reading or watching TV to get accustomed to it.

2. Initial Sleep Improvements (Or Not)

Some users notice immediate improvements in sleep quality, waking up more refreshed.

Others struggle with frequent awakenings as they adjust to the machine’s airflow.

Fact: Studies show that consistent CPAP use for at least 4 hours per night is needed to see benefits.

3. Common Side Effects

Skin irritation – Red marks or sores from an ill-fitting mask. (Adjust straps or try a different style.)

Air leaks – A poorly sealed mask can cause noisy leaks and reduce effectiveness.

Bloating or "aerophagia" – Swallowing air can cause gas or stomach discomfort. (Try sleeping slightly elevated.)

Week 2-3: Progress and Challenges

By the second week, many users start noticing changes—both positive and frustrating.

1. Increased Energy and Mental Clarity

As sleep apnea symptoms improve, you may experience:

Fewer morning headaches (caused by oxygen deprivation).

Better focus and mood due to deeper, uninterrupted sleep.

Reduced daytime sleepiness—no more fighting afternoon crashes.

2. Weight Loss and CPAP: Is There a Link?

CPAP use could help people lose weight indirectly by:

Boosting metabolism – Poor sleep disrupts hormones like leptin (satiety) and ghrelin (hunger). Better sleep helps regulate appetite.

Increasing energy for exercise – Many users report feeling more motivated to be active.

Reducing late-night snacking – Sleep apnea often leads to nighttime awakenings and cravings.

Note: While CPAP alone won’t cause dramatic weight loss, it supports healthier habits.

3. Ongoing Adjustments

Mask fit issues – You might need to try different styles (nasal pillows, full-face, etc.).

Pressure settings – If the airflow feels too strong or weak, consult your doctor about adjustments.

Sleep tracking – Many modern CPAPs sync with apps (like MyAir by ResMed) to monitor progress.

Week 4: Establishing a Routine

By the end of the first month, most users have adapted to CPAP therapy and are seeing benefits.

1. Long-Term Benefits Start Emerging

Lower blood pressure – Sleep apnea strains the heart; CPAP reduces this risk.

Improved heart health – Reduced risk of arrhythmias and stroke.

Better blood sugar control – Important for those with diabetes or insulin resistance.

2. Common Struggles That May Persist

Dryness or congestion – A humidifier or saline spray can help.

Traveling with CPAP – Portable machines make it easier, but planning is key.

Social adjustments – Some users feel self-conscious about using CPAP with a partner.

3. Tips for Success

✔ Clean your equipment regularly – Prevents bacteria buildup and ensures optimal function.

✔ Stick to a sleep schedule – Consistency helps your body adjust faster.

✔ Join a support group – Online forums (like CPAPTalk.com) offer advice and encouragement.

What If CPAP Still Feels Uncomfortable?

If you’re struggling after a month, consider:

Trying a different mask – Nasal pillows work better for some than full-face masks.

Adjusting humidity settings – Too much or too little moisture can cause discomfort.

Exploring alternatives – BiPAP or oral appliances may be options for some.

The Psychological Adjustment to CPAP Therapy

One of the most overlooked aspects of starting CPAP therapy is the psychological adjustment. Many users experience:

Frustration with the learning curve – It takes time to find the right mask fit, humidity settings, and sleeping positions.

Anxiety about dependency – Some worry they’ll never sleep well without the machine.

Embarrassment or self-consciousness – Partners may need time to adjust to the noise or appearance of the machine.

How to cope:

Reframe your mindset – Instead of seeing CPAP as a burden, view it as a tool for better health (like glasses for your sleep).

Communicate with your partner – Explain how CPAP reduces snoring and improves your shared sleep quality.

Celebrate small wins – Even minor improvements (like fewer nighttime bathroom trips) are progress.

The Impact of CPAP on Relationships

Sleep apnea doesn’t just affect you—it impacts your partner, too. CPAP can transform shared sleep dynamics:

Positive Changes

No more loud snoring or gasping – Partners often report better sleep once CPAP therapy begins.

Improved mood and intimacy – Restorative sleep leads to less irritability and higher energy for connection.

Challenges to Address

Machine noise – While modern CPAPs are quiet, some partners are sensitive to the sound of airflow. A white noise machine can help.

Adjusting to the new routine – It may take time for both of you to adapt to the presence of the machine.

Tip: Involve your partner in your CPAP journey. Let them know how it’s helping you, and ask for their support in sticking with it.

Troubleshooting Common CPAP Problems

Even after the first month, some issues may persist. Here’s how to solve them:

1. Mask Leaks

Problem: Air escapes, reducing therapy effectiveness and causing dry eyes.

Solution:

Re-adjust straps (snug but not tight).

Try a mask liner for a better seal.

Consider a different mask style if leaks continue.

2. Dry Mouth or Nose

Problem: Waking up with a parched throat or bloody noses.

Solution:

Increase humidifier settings.

Use a chin strap if mouth breathing is the issue.

Apply nasal saline gel before bed.

3. Difficulty Falling Asleep

Problem: Feeling like the machine is keeping you awake.

Solution:

Use the "ramp" feature to start with lower pressure.

Practice relaxation techniques (deep breathing, meditation) before bed.

Long-Term Benefits Beyond the First Month

While the first month focuses on adaptation, long-term CPAP users often experience:

Reduced risk of heart disease and stroke – Sleep apnea strains the cardiovascular system; CPAP mitigates this.

Improved memory and cognitive function – Deep sleep enhances brain health.

Lowered diabetes risk – Better sleep helps regulate blood sugar.

Did You Know? A 2023 study found that consistent CPAP use for 6+ months led to:

30% reduction in daytime fatigue

25% improvement in mood disorders

15% drop in blood pressure for hypertensive patients

When to Consult Your Doctor

Contact your sleep specialist if you experience:

Persistent mask discomfort – You may need a different type.

Unresolved dryness or congestion – Your pressure or humidity settings might need adjusting.

No improvement in daytime sleepiness – Your apnea may require a different treatment approach.

You may also read: Stress, Sleep, and Headaches: How They Are Connected

Final Thoughts

The first month of CPAP therapy is a journey—some days will feel effortless, others frustrating. But with persistence, the rewards are life-changing: better sleep, more energy, and improved overall health.

Key Takeaways:

Week 1 is about adjusting to the mask and airflow.

Weeks 2-3 bring noticeable energy boosts and potential weight benefits.

By Week 4, most users establish a routine and see long-term health improvements.

Remember: CPAP use could help people lose weight, reduce snoring, and lower heart disease risk—but consistency is key. Stick with it, and soon, you’ll wonder how you ever slept without it.