Missed period and always feeling sleepy
Missed periods accompanied by constant drowsiness may be caused by pregnancy, endocrine disorders, ovarian function decline, or other conditions, which require targeted treatment. Detailed explanations are as follows:
1. Pregnancy
After pregnancy, a woman's body experiences accelerated metabolism and higher energy consumption. The ovaries stop secreting estrogen and progesterone during pregnancy, so the endometrium does not undergo cyclical changes and does not shed and bleed. As a result, menstruation stops. Pregnant women often feel sleepy and miss their periods. It is recommended to visit a hospital for a human chorionic gonadotropin (hCG) test to confirm whether pregnancy is present.
2. Endocrine Disorders
If someone remains under significant work or life stress for a prolonged period, it may lead to endocrine imbalance. In such cases, the endometrium loses estrogen support and fails to shed normally, while the body also consumes more energy, potentially causing missed periods and excessive sleepiness. Treatment under a doctor’s guidance may include medications such as progesterone capsules or dydrogesterone tablets.
3. Ovarian Function Decline
Age is usually the primary factor leading to diminished ovarian function. When ovarian function declines, the production of estrogen decreases. Low estrogen levels may disrupt sleep and prevent the endometrium from thickening and shedding properly, resulting in absent menstruation. This condition may therefore cause both missed periods and increased sleepiness. Under medical supervision, medications such as estradiol valerate tablets or folic acid tablets may be prescribed for treatment.
Besides the above, conditions such as colds, malnutrition, and hypothyroidism can also lead to missed periods and persistent drowsiness. It is advisable to seek timely medical evaluation to identify the underlying cause and receive appropriate treatment.