![]() Symptoms may spontaneously remit in 10-15% of patients (read more HERE). ![]() Symptom intensity often varies (between weeks, months, or years) and can worsen just prior to menses in women. Symptoms often first appear in the mid-to-late teens or early twenties, although they can begin in childhood or at a later age. Even with medication, patients may struggle with these activities. If an effective medication to control symptoms cannot be found, it can be extremely difficult for people with IH to hold down jobs, remain in school, maintain marriages, and fully engage with their family and friends. The disorder is chronic, and the symptoms can be relentless. Many people with IH sleep more than 11 hours out of every 24. Thinking clearly and carrying out even basic tasks can be difficult. Sleep seems to leave a mental fogginess, which can remain throughout the few hours that people with IH can remain awake. While people without sleep disorders may wake up and briefly want to return to sleep, in people with idiopathic hypersomnia, this sleep-to-wake transition is much more difficult and prolonged. Additional symptoms commonly include unrefreshing or non-restorative sleep, and severe sleep inertia/ sleep drunkenness, which is extreme difficulty awakening from sleep, accompanied by feelings of grogginess and disorientation upon awakening. The main symptom of IH is excessive daytime sleepiness despite adequate, or more typically, long sleep amounts (e.g., more than 10-11 hours per night). ![]() What Are the Symptoms of Idiopathic Hypersomnia?
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