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Fatigue is a common problem throughout the menopause and can be emotionally and mentally draining. Trying to go about your day to day lives can often feel strenuous and exhausting. Here, our menopause expert Eileen Durward confronts fatigue and explains the multifaceted causes behind the symptom, as well as the herbal remedies that can be taken to alleviate the feelings of weariness.
Fatigue is a feeling of extreme exhaustion and complete lack of energy. Menopausal fatigue, or crashing fatigue, is when this feeling suddenly overwhelms a person. While fatigue is often exacerbated after physical or mental exercise, for menopausal women it can come at any time, without good reason, even after a good night’s sleep. In fact, often with this symptom, the woman is not sleepy or longing for bed, but completely lacking in energy and unable to continue with their normal activities.
Certain lifestyle factors may trigger the symptom. These include stress and anxiety, and so it is worth trying to keep these at a minimum, not least for your general well-being.
At this time of life, low thyroid function and low iron levels can also appear, causing similar symptoms. If you are feeling fatigued on a regular basis, it is best to get checked out in case it is down to one of these underlying health issues.
It is important not to confuse episodes of menopausal fatigue with a more serious condition such as Chronic Fatigue Syndrome or anaemia, when you will feel prolonged periods of exhaustion which do not go away with sleep or rest.
Fatigue is a feeling of extreme exhaustion and complete lack of energy. Menopausal fatigue, or crashing fatigue, is when this feeling suddenly overwhelms a person. While fatigue is often exacerbated after physical or mental exercise, for menopausal women it can come at any time, without good reason, even after a good night’s sleep. In fact, often with this symptom, the woman is not sleepy or longing for bed, but completely lacking in energy and unable to continue with their normal activities.
Certain lifestyle factors may trigger the symptom. These include stress and anxiety, and so it is worth trying to keep these at a minimum, not least for your general well-being.
At this time of life, low thyroid function and low iron levels can also appear, causing similar symptoms. If you are feeling fatigued on a regular basis, it is best to get checked out in case it is down to one of these underlying health issues.
It is important not to confuse episodes of menopausal fatigue with a more serious condition such as Chronic Fatigue Syndrome or anaemia, when you will feel prolonged periods of exhaustion which do not go away with sleep or rest.
Menopausal fatigue is often thought to be the result of hormone imbalances. As hormone levels, particularly oestrogen, fluctuate, you will notice differences in your energy levels. It is when the level of oestrogen is at rock bottom that you will experience fatigue.
These hormonal changes can influence your normal sleep pattern, so that women who had always slept well before the menopause find they are suddenly struggling to achieve adequate restful sleep. This is often a cause of fatigue during the day.
There are lifestyle causes which could also trigger fatigue. Many menopausal women feel that they are under greater time restraints, and often other menopause symptoms such as memory lapses can make a woman feel stressed. This is likely to result in an episode of fatigue.
Many menopausal women who suffer from fatigue find relief from simple home remedies:
As hormonal changes are the root of many menopausal symptoms, start off with soy isoflavones, a supplement that can see you through all stages of the menopause.
"Helped to eliminate all the unpleasant moments of my menopause." read more customer reviews
If you have found that home or herbal remedies are not working for you, then it may be worth speaking to a pharmacist or doctor. There are some conventional treatments available to ease your symptoms of fatigue. However, as your fatigue is likely to be caused by the menopause, you may be asked to consider a hormone treatment such as HRT to tackle the root of the problem.
If you are worried about your condition, have experienced persistent episodes of severe fatigue, or are experiencing fatigue even when you are getting enough sleep, then seeking medical advice is also advised. This is particularly important if you are also experiencing heavy periods as you could be anaemic, or worried about other symptoms such as the condition of your hair which may be an indication of an underactive thyroid gland.
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Jean — 10.06.2021 09:32
Hi I had breast cancer 6 years ago and was put into a forced menopause 2 years ago I eat well sleep well don't drink alcohol but I am so tired to the point it is making me depressed I find doing daily tasks so difficult and I live on my own with my young daughter I can't rake hrt as it is not recommended after cancer also I am told I snore so bad I am wondering could this be the reason thank you
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eileen — 10.06.2021 09:18
Hi Jean
Excessive snoring can indicate a condition called Sleep Apnoea; this condition can cause symptoms such as:
Waking up with a very sore or dry throat.
Loud snoring.
Occasionally waking up with a choking or gasping sensation.
Sleepiness or lack of energy during the day.
Sleepiness while driving.
Morning headaches.
Restless sleep.
so it may be wise to get a general health check from your doctor just to rule this out. I would also ask them to test you for low iron, low thyroid function, low vitamin D and B12 as all of these can cause fatigue, low mood/depression too.
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Elizabeth downie — 20.09.2017 13:46
i am taking oestrogel and utrogestan but i am so tired and fatigued xx
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eileen — 21.09.2017 13:23
Hi Elizabeth
If you a re still not feeling better on your medication it is important to go back and see your doctor. Ask them to check the fatigue further (such as low iron or low thyroid function) and also to see if this combination is the best one for your specific situation.
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Sue — 17.08.2017 06:33
Hi, I am 53 and had breast cancer 3 years ago, since then I have taken Tamoxifen. Last year I had a full hysterectomy. Since then I have gradually felt more and more poorly. I am having hot flushes half hourly during the day. At night I am awake although feeling exhausted, I have hot sweats every hour or so making me feel as if I am about to have a panic attack. I have been on Citalipram and other drugs but have refused anymore as symptoms were not improving and I felt more sluggish and out of control. I am lacking confidence, I feel exhausted, I need to sit /sleep every afternoon, my joints ache so much and even more after excercise. This is so miserable! Can you help me with any advice or products?
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Ruth James — 03.09.2017 16:24
Hi Sue. I am a breast cancer surgeon and would strongly recommend that you speak to your breast care nurse and oncologist about your symptoms. They will have good advice about how to manage them safely. It is important not to take any herbal remedys without discussing it with your doctor. Many of these products contain phytoestrogens. Some women with a history of estrogen sensitive breast cancer do decide to take HRT because their menopausal symptoms are making their lives a misery but this decision should only be made after you have had a full discussion about the risks involved.
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Eileen — 04.09.2017 12:17
Hi Ruth
Thank you for replying to Sue.
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Jean — 10.06.2021 10:32
That is great to now that you can still take HRT even though you are estrogen sensitive thank you
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