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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Extreme Fatigue And Insomnia?

I am perimemopausal. I have been bleeding light to moderately, getting heavier, for three weeks now. Feel tired and have been having insomnia. Is this normal? My doctor said he could put me on the pill to regulate me but if this is just par for the course I would rather not go on the pill. Not sure if I should be concerned or not. Susie
Mon, 1 Apr 2019
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General Surgeon 's  Response
Hi,

Well, insomnia may be difficult to treat, but there are some methods which can be used. Treatment options include behavior and lifestyle changes, medicines, and complementary medicines.

You need to change your dietary habits and these include changing your sleep area or schedule, watching what and when you eat and drink, and being more active.

It's also important to keep regular bedtimes and wake times-7 days a week-and to try to avoid taking naps during the day. Prescription sleep medicines may also help and include diazepam and similar medications.

Melatonin is supplement which may be of help as well. In severe cases special testing is needed.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Extreme Fatigue And Insomnia?

Hi, Well, insomnia may be difficult to treat, but there are some methods which can be used. Treatment options include behavior and lifestyle changes, medicines, and complementary medicines. You need to change your dietary habits and these include changing your sleep area or schedule, watching what and when you eat and drink, and being more active. It s also important to keep regular bedtimes and wake times-7 days a week-and to try to avoid taking naps during the day. Prescription sleep medicines may also help and include diazepam and similar medications. Melatonin is supplement which may be of help as well. In severe cases special testing is needed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon