Fatigue and Drowsiness Before Menstruation: Causes and Solutions

Q: Fatigue and Drowsiness Before Menstruation: Causes and Solutions

Hello： For the condition of inner ear imbalance, it is recommended to consult an otolaryngologist for examination and treatment. <br>As for the fatigue and drowsiness related to menstruation, you may seek herbal medicine for adjustment. <br>Additionally, it is advisable to start

Fatigue and drowsiness during menstruation?

Hello Dr.
Ding, for the past year or two, during the week leading up to my menstrual period, I always feel extremely fatigued and sleepy.
I spend at least two to three days in a state of deep sleep, which affects my work.
However, once my period starts, all the fatigue and sleepiness go away, although I occasionally experience some abdominal pain, which is manageable.
What concerns me now is that I am on the third day of my period, and I still feel fatigued and sleepy, with my energy levels being quite low.
Additionally, I experienced a head injury while traveling, which has led to occasional dizziness, and the examination results indicated "inner ear imbalance." That was an issue from the end of June, and now I am confused about what to do next.
I want to seek medical attention again, but I'm not sure which specialist to see.
If the fatigue and sleepiness related to my menstrual cycle can be improved with medication, would that be effective? Or are there other methods? Thank you for your help!

Tianqing, 20~29 year old female. Ask Date: 2005/08/08

Dr. Ding Hanxiang reply Traditional Chinese Medicine

Hello: For the condition of inner ear imbalance, it is recommended to consult an otolaryngologist for examination and treatment.
As for the fatigue and drowsiness related to menstruation, you may seek herbal medicine for adjustment.
Additionally, it is advisable to start by improving your daily routine and incorporating exercise.
A combination of both approaches is suggested for better management.
Ding Hanxiang

Reply Date: 2005/08/08

More Info

Understanding fatigue and drowsiness before menstruation is a common concern among many women, and it can be attributed to several physiological and psychological factors. The symptoms you describe, including extreme fatigue and drowsiness in the week leading up to your menstrual cycle, are often associated with premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD). These conditions can cause a variety of symptoms, including mood swings, irritability, fatigue, and physical discomfort.

Causes of Fatigue and Drowsiness Before Menstruation
1. Hormonal Changes: The menstrual cycle is regulated by hormones such as estrogen and progesterone. In the luteal phase (the week before menstruation), progesterone levels rise, which can lead to feelings of fatigue and drowsiness. This hormonal fluctuation can also affect neurotransmitters in the brain, such as serotonin, which plays a role in mood regulation and sleep.

2. Sleep Disruption: Many women experience changes in sleep patterns due to hormonal fluctuations. Increased fatigue can lead to longer sleep durations or disrupted sleep, contributing to feelings of drowsiness during the day.

3. Physical Symptoms: Symptoms such as bloating, cramps, and headaches can also contribute to fatigue. The body may require more energy to cope with these discomforts, leading to increased tiredness.

4. Psychological Factors: Stress, anxiety, and mood changes associated with PMS can also contribute to feelings of fatigue. Emotional distress can lead to a lack of motivation and increased feelings of tiredness.

5. Underlying Conditions: Conditions such as anemia, thyroid disorders, or chronic fatigue syndrome can exacerbate feelings of fatigue and should be evaluated by a healthcare provider.

Solutions and Management Strategies
1. Lifestyle Modifications:
- Diet: Eating a balanced diet rich in whole grains, fruits, vegetables, and lean proteins can help stabilize energy levels. Reducing sugar and caffeine intake may also help manage mood swings and fatigue.

- Exercise: Regular physical activity can improve energy levels and mood. Even light exercise, such as walking or yoga, can be beneficial.

- Sleep Hygiene: Establishing a regular sleep schedule and creating a restful environment can improve sleep quality. Aim for 7-9 hours of sleep per night.

2. Stress Management: Techniques such as mindfulness, meditation, and deep-breathing exercises can help manage stress and improve overall well-being.

3. Medical Evaluation: Since you mentioned experiencing dizziness and a previous head injury, it is essential to consult a healthcare provider. They can evaluate whether your symptoms are related to your menstrual cycle or if there are other underlying issues, such as vestibular disorders or hormonal imbalances.

4. Medication: If lifestyle changes do not alleviate your symptoms, your healthcare provider may recommend medications. Options may include:
- Hormonal Treatments: Birth control pills can help regulate hormonal fluctuations and may reduce PMS symptoms.

- Antidepressants: Selective serotonin reuptake inhibitors (SSRIs) can be effective for severe PMS or PMDD.

- Pain Relief: Over-the-counter pain relievers can help manage menstrual cramps and associated discomfort.

5. Monitoring Symptoms: Keeping a symptom diary can help identify patterns and triggers related to your fatigue and menstrual cycle. This information can be valuable for your healthcare provider in determining the best course of action.

Conclusion
In summary, fatigue and drowsiness before menstruation can be attributed to hormonal changes, sleep disruptions, and psychological factors. Implementing lifestyle modifications, managing stress, and seeking medical evaluation are essential steps in addressing these symptoms. If your fatigue persists beyond your menstrual cycle, it is crucial to consult a healthcare provider to rule out any underlying health issues. By taking a proactive approach, you can better manage your symptoms and improve your overall quality of life.

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