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Published on: 2/13/2026

Irresistible Urge to Sleep During the Day? A Woman’s Guide & Next Steps

An irresistible urge to sleep during the day can have several, often treatable causes in women, including not enough or poor quality sleep, hormonal shifts, iron deficiency, thyroid problems, depression or anxiety, sleep apnea, and narcolepsy. There are several factors to consider. See below for practical next steps like improving sleep habits, tracking symptoms, reviewing medications, checking labs, considering a sleep study or a narcolepsy symptom check, and seeking urgent care for red flags such as dozing while driving, chest pain, fainting, or sudden neurological changes.

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Irresistible Urge to Sleep During the Day? A Woman's Guide & Next Steps

Do you struggle with an irresistible urge to sleep during the day, even after what seems like a full night's rest? If you find yourself fighting to keep your eyes open at work, while driving, or during conversations, you're not alone. Excessive daytime sleepiness affects many women — and it's often misunderstood or dismissed as "just being tired."

Here's what you need to know about why this happens, what it could mean, and what to do next.


What Does an "Irresistible Urge to Sleep During the Day" Really Mean?

Everyone feels tired occasionally. But an irresistible urge to sleep during the day is different from ordinary fatigue.

You might notice:

  • Falling asleep unintentionally
  • Strong sleepiness even after 7–9 hours of sleep
  • Nodding off while reading, watching TV, or in meetings
  • Difficulty concentrating or remembering things
  • Feeling refreshed only briefly after naps

If this happens frequently or interferes with daily life, it deserves attention.


Common Causes in Women

Women face unique biological and lifestyle factors that can increase daytime sleepiness. Here are some of the most common causes backed by medical research:

1. Sleep Deprivation

The most common cause is simply not getting enough quality sleep.

Common reasons include:

  • Parenting young children
  • Shift work
  • Stress or anxiety
  • Insomnia
  • Late-night screen use

Adults typically need 7–9 hours of sleep per night. Consistently getting less can cause persistent daytime drowsiness.


2. Hormonal Changes

Hormones play a major role in sleep regulation.

Women may experience an irresistible urge to sleep during the day during:

  • Menstrual cycle changes
  • Pregnancy
  • Perimenopause
  • Menopause

Progesterone, in particular, can increase sleepiness. During pregnancy, fatigue is especially common in the first trimester.


3. Iron Deficiency

Iron deficiency — even without full anemia — is common in women, especially those with heavy periods.

Symptoms can include:

  • Fatigue
  • Brain fog
  • Weakness
  • Daytime sleepiness

A simple blood test can check iron levels.


4. Thyroid Disorders

An underactive thyroid (hypothyroidism) slows metabolism and can cause:

  • Ongoing fatigue
  • Cold sensitivity
  • Weight gain
  • Depression
  • Irresistible urge to sleep during the day

This condition is more common in women than men and is diagnosed with blood tests.


5. Depression and Anxiety

Mental health conditions often affect sleep patterns.

Depression can cause:

  • Oversleeping
  • Poor sleep quality
  • Persistent fatigue

Anxiety can disrupt sleep at night, leading to daytime exhaustion.

If mood changes accompany sleepiness, it's important to discuss both with a healthcare provider.


6. Obstructive Sleep Apnea (OSA)

Sleep apnea is often underdiagnosed in women because symptoms may be less obvious.

Instead of loud snoring, women may report:

  • Insomnia
  • Morning headaches
  • Mood changes
  • Daytime sleepiness

Sleep apnea causes repeated breathing pauses at night, leading to poor-quality sleep and an irresistible urge to sleep during the day.


7. Narcolepsy

Narcolepsy is a neurological sleep disorder that causes overwhelming daytime sleepiness.

Symptoms may include:

  • Sudden sleep attacks
  • Muscle weakness triggered by emotions (cataplexy)
  • Vivid dreams when falling asleep or waking up
  • Sleep paralysis

If your daytime sleepiness feels sudden, intense, or uncontrollable, you can take a free AI-powered Narcolepsy symptom checker right now to help determine if your symptoms align with this condition and learn what steps to take next.


When Should You Be Concerned?

An irresistible urge to sleep during the day should not be ignored if it:

  • Happens daily for several weeks
  • Interferes with work, parenting, or relationships
  • Causes you to fall asleep while driving
  • Comes with memory problems or confusion
  • Occurs alongside chest pain, shortness of breath, or fainting

In rare cases, severe sleepiness can be linked to neurological conditions or serious medical issues. If symptoms are sudden, severe, or worsening, seek medical attention promptly.


Practical Steps You Can Take Now

While you arrange a medical evaluation, these strategies may help improve daytime alertness:

Improve Sleep Hygiene

  • Go to bed and wake up at the same time daily
  • Avoid screens 1 hour before bed
  • Limit caffeine after early afternoon
  • Keep your bedroom cool, dark, and quiet
  • Avoid heavy meals before bedtime

Track Your Symptoms

Keep a simple sleep diary for 1–2 weeks. Record:

  • Bedtime and wake time
  • Night awakenings
  • Daytime naps
  • Caffeine intake
  • Energy levels

This information can help your doctor identify patterns.


Review Medications

Some medications can cause daytime sleepiness, including:

  • Antihistamines
  • Certain antidepressants
  • Blood pressure medications
  • Sedatives

Never stop medication on your own, but ask your doctor if adjustments are possible.


Check Basic Labs

Your healthcare provider may recommend testing for:

  • Iron levels
  • Thyroid function
  • Vitamin B12
  • Vitamin D
  • Blood sugar levels

These are common and treatable contributors to fatigue.


How Doctors Evaluate Excessive Daytime Sleepiness

If you report an irresistible urge to sleep during the day, your doctor may:

  • Take a detailed sleep history
  • Ask about snoring or breathing pauses
  • Screen for depression
  • Order blood work
  • Recommend a sleep study
  • Refer you to a sleep specialist

If narcolepsy or another sleep disorder is suspected, specialized sleep testing may be required.


Why You Shouldn't Just "Push Through It"

Many women normalize extreme fatigue and push themselves to keep going. But persistent daytime sleepiness is your body's signal that something may need attention.

Untreated sleep disorders can increase risk for:

  • Accidents
  • Poor job performance
  • Mood disorders
  • Cardiovascular issues (especially with untreated sleep apnea)

Addressing the root cause can dramatically improve quality of life.


The Bottom Line

An irresistible urge to sleep during the day is not something you should ignore — especially if it's frequent, intense, or interfering with daily life.

Common causes include:

  • Sleep deprivation
  • Hormonal changes
  • Iron deficiency
  • Thyroid disorders
  • Depression
  • Sleep apnea
  • Narcolepsy

Many of these conditions are treatable once identified.

If your symptoms are persistent or concerning, consider using a free AI-powered Narcolepsy symptom checker to get personalized insights before your doctor's appointment — it only takes a few minutes and can help you better understand your symptoms.

Most importantly, speak to a doctor about any symptoms that are severe, worsening, or potentially life-threatening — such as falling asleep while driving, fainting, chest pain, or sudden neurological changes.

You deserve to feel awake, alert, and well. Daytime sleepiness may be common, but it is not something you have to accept as normal.

(References)

  • * Koo, D. L., Lim, L. L., & Lee, H. B. (2018). Excessive Daytime Sleepiness in Women. Sleep Medicine Clinics, 13(3), 329–339.

  • * Dauvilliers, Y., Ambati, K. R., & Plazzi, G. (2020). Sex differences in narcolepsy: symptoms, comorbidities, and treatment. Current Opinion in Neurology, 33(4), 481–488.

  • * Anderson, V. (2020). Idiopathic hypersomnia: aetiology, diagnosis and current management. Journal of Thoracic Disease, 12(Suppl 1), S40–S50.

  • * Pusalavidyasagar, S., & Rosen, I. M. (2022). Sleep Apnea in Women: Underrecognized and Undertreated. Chest, 161(2), 527–538.

  • * Baker, F. C., & Lee, K. A. (2020). Sleep, Sleep Disorders, and the Menopause Transition. Sleep Medicine Clinics, 15(2), 239–254.

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