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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Excessive Sleepiness?

Hello. I am falling over with sleepiness, and from what I ve read, it s due to the progesterone suppositories I use nightly. I have been using it for probably 25 years--no, I don t want to stop HRT, it is very helpful for maintaining good relations with my husband. I noticed that Kaiser is now contracting with a different compounding pharmacy. I would like to know if there are variations in micronized progesterone sources that would cause a significant change in alertness. I feel as though I ve died and forgot to fall down.
Tue, 3 Jul 2018
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

In my opinion, there is no reason to be worried and usually this is just temporary and self limiting. Excessive daytime sleepiness is common issues and should be considered in this case. Excessive daytime sleepiness may be caused by conditions such sleep deprivation, metabolic disturbances, sleep apnoea, medications, neurological disorders such seizures and psychiatric disorders such depression. If emotional causes are ruled out then some tests can be done to confirm the diagnosis. In my opinion, polysomnography ( sleep study ), is one of the necessary examinations in order to achieve a correct diagnosis. Please discuss with primary care Doctor about these issues.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Excessive Sleepiness?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion, there is no reason to be worried and usually this is just temporary and self limiting. Excessive daytime sleepiness is common issues and should be considered in this case. Excessive daytime sleepiness may be caused by conditions such sleep deprivation, metabolic disturbances, sleep apnoea, medications, neurological disorders such seizures and psychiatric disorders such depression. If emotional causes are ruled out then some tests can be done to confirm the diagnosis. In my opinion, polysomnography ( sleep study ), is one of the necessary examinations in order to achieve a correct diagnosis. Please discuss with primary care Doctor about these issues. Hope I have answered your query. Let me know if I can assist you further.