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ABC’s of Menopause: Fatigue

Everything You Need to Know & How To Take Back Control

Mia West
January 16, 2024
Medically-reviewed and fact checked by Ryan Lester, PA-C

Menopause is the “gift” that keeps on giving. With 34 associated symptoms that can easily be ascribed to a myriad of other health conditions, it can be impossible to know if what you’re experiencing is tied to menopause without a hormone test. Each week this series will break down symptoms to empower women to take back control of their health and enjoy some relief.

Relentless exhaustion is another unpleasant symptom of menopause, but this is not the typical tiredness that a cup of coffee or a good night’s rest can easily remedy. This overwhelming fatigue not only makes daily tasks challenging but also casts a shadow over activities that were once a source of joy. The hormonal fluctuations caused by menopause play a significant role in creating this energy void, which can have a profound impact on one’s physical, emotional and psychological well-being. 

With the pressures of today’s modern workplace, it’s no surprise a third of menopausal women are considering shifting to part-time work - they’re simply too depleted. If this is your experience, read on to learn more about this treatable condition and how to reclaim your vitality.

What Causes Fatigue in Menopausal Women?

Imbalances of estrogen, progesterone, thyroid and adrenal gland hormones caused by menopause can contribute to an overall sense of fatigue. These hormonal fluctuations can affect the body’s ability to efficiently utilize energy, including metabolism, leaving women feeling perpetually drained. Menopausal women may also find themselves grappling with disrupted sleep patterns, night sweats, and hot flashes, all of which contribute to exhaustion. 

How Do I Know if My Fatigue Is Menopause Related?

Distinguishing menopause-related fatigue from other potential causes can be challenging. Factors such as thyroid imbalances can also influence energy levels, making it essential to undergo comprehensive hormone tests. Seeking professional medical advice becomes crucial to pinpoint the exact origin of fatigue and tailor an effective intervention.

What Else Causes Fatigue?

While menopause may be to blame, other lifestyle and health factors can exacerbate fatigue. A lack of exercise and dietary choices play a role, with certain foods potentially sapping energy levels. Additionally, alcohol and drug use, stress, medications, mental health issues, and underlying health conditions like obesity, diabetes or anemia can further contribute to the fatigue puzzle.

What Are My Treatment Options?

Some practical strategies to combat menopausal fatigue and recharge your battering include: 

  • Prioritize Sleep: Establish a consistent sleep routine to promote better sleep quality and duration.
  • Mindful Nutrition: Opt for a balanced diet rich in nutrients, avoiding energy-draining foods. Stay hydrated to support overall well-being.
  • Regular Exercise: Engage in regular physical activity to boost energy levels and combat the sedentary effects of fatigue.
  • Hydration: According to the Mayo Clinic, women should consume about 11.5 cups (2.7 liters) of water a day to maintain proper hydration, which will help support organ function and mitigate fatigue.
  • Stress Management: Implement stress-reducing techniques such as meditation or yoga to alleviate the impact of stress on fatigue.
  • Hormone Replacement Therapy (HRT): Speak to a healthcare professional about managing menopausal fatigue through hormone optimization which can address this issue, as well as other frustrating menopausal symptoms. 

When Should I See A Doctor?

Persistent fatigue, especially when accompanied by other concerning symptoms, warrants a visit to a healthcare professional. Thorough examinations and relevant tests can help uncover any underlying health issues contributing to fatigue and guide appropriate interventions.


Join millions of men and women who are improving their health by ordering the Wellcore At-Home Assessment Kit today.

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About the Author

Mia West

A former journalist, Mia brings a high energy approach to communications rooted in insights, culture and brand DNA. She is driven by helping brands crystalize their story and foster meaningful, emotional connections with audiences. Over the years she has collaborated with prominent brands such as Petco, Keurig Dr Pepper, Jaguar Land Rover, Revlon, and Procter & Gamble Beauty, as well as many others in the retail, health & wellness, beauty, lifestyle, and sustainability realms. A California native, she lives in San Diego with her family at the beach.

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