Why do I feel extremely sleepy and can't wake up easily during my menstrual period?
Nov 29, 2024
Source: Cainiu Health
Dr. Zhang Lu
Introduction
Excessive fatigue and difficulty waking up during menstruation may be related to hormonal changes, iron deficiency, anemia, endometriosis, hypothyroidism, and other factors. It is recommended to seek timely medical attention and follow the doctor's guidance for treatments such as general care and medication. In daily life, one should develop good sleep habits, relax appropriately, and relieve stress through regular physical exercise.
Generally, excessive fatigue and difficulty waking up during menstruation may be related to factors such as hormonal changes, iron deficiency, anemia, endometriosis, and hypothyroidism. It is recommended to seek timely medical consultation and, under a doctor's guidance, undergo general treatment, medication, or other suitable therapies. Detailed explanations are as follows:
1. Hormonal Changes
During different phases of the menstrual cycle, hormone levels in women's bodies fluctuate. Particularly before and during menstruation, declining estrogen and progesterone levels may disrupt normal sleep cycles, leading to increased drowsiness. Maintaining regular lifestyle habits, going to bed and waking up at consistent times, and avoiding caffeine intake late at night are recommended.
2. Iron Deficiency
Blood loss during menstruation can lead to iron depletion. Iron is an essential component of hemoglobin in red blood cells, which is responsible for transporting oxygen throughout the body. Insufficient iron reduces oxygen supply, causing persistent fatigue and sleepiness. Increasing dietary intake of iron-rich foods, such as red meat, legumes, and leafy green vegetables, is advised.
3. Anemia
Factors such as folic acid or vitamin B12 deficiency, excessive red blood cell destruction, and blood loss can easily lead to anemia. A reduced number of red blood cells decreases the blood's oxygen-carrying capacity, resulting in inadequate oxygen supply to the brain and causing persistent fatigue. Symptoms may also include pale complexion, weakness, dizziness, palpitations, and other related manifestations. Treatment options may include medications such as ferrous sulfate tablets, compound ferrous sulfate granules, or iron(II) fumarate tablets, as directed by a physician.
4. Endometriosis
High estrogen levels, abnormal genital tract development, and autoimmune diseases may increase the risk of endometriosis. Endometrial tissue growing outside the uterine cavity can cause pain. Chronic pain and discomfort may interfere with sleep, leading to fatigue and excessive sleepiness. This condition is often accompanied by menstrual irregularities and infertility. Patients may be advised by their doctors to use medications such as dienogest tablets, triptolide capsules, or mifepristone tablets.
5. Hypothyroidism
Hypothyroidism is primarily caused by autoimmune damage, excessive or insufficient iodine intake, or lesions affecting the pituitary gland or hypothalamus. A decrease in thyroid hormone levels slows down the body's metabolism, potentially causing unusual fatigue during menstruation. Common symptoms also include cold intolerance, a blank facial expression, slowed reactions, and memory impairment. Treatment options may include medications such as levothyroxine sodium tablets, thyroid extract tablets, or hydrocortisone injections, as prescribed by a doctor.
It is important to develop healthy lifestyle habits, relax appropriately, maintain a positive mindset, and engage in regular physical activity to relieve stress and improve emotional well-being.
