All about each symptom of menopause

Causes of Fatigue

Although it is common, fatigue can be one of the more frustrating symptoms of menopause. It can negatively impact many aspects of a woman's personal and professional life, and it can even take its toll on her overall health. Fortunately, by better understanding its causes, women can treat this frustrating symptom.

The primary cause of fatigue in middle aged women is unbalanced hormone levels, although there are exceptions to this rule. Keep reading to learn more about these hormonal causes, as well as the other potential triggers, in order to treat fatigue.

Hormonal Causes

For women who are experiencing menopause, fatigue is typically due to hormone fluctuations. Estrogen and progesterone, the two main hormones influenced by menopause, play a key role in sleep functions. When they are thrown out of balance, however, a woman's sleep cycle is disturbed, which often leads to fatigue.


This hormone has a role in regulating sleep, wakefulness, and REM phases. During the menopause transition, estrogen levels fluctuate up and down. A spike followed by a decline in estrogen levels may suppress REM sleep or disrupt the sleep cycle in general.


This hormone, by contrast, regulates sleep induction. As progesterone levels drop, women may have difficulty falling asleep. This may trigger insomnia, which can lead to fatigue during the day.

The sleep cycle

Other hormones

Different hormones that are involved in this process include the thyroid and adrenal hormones, as well as melatonin. These hormones have an effect on sleep and metabolism. Estrogen also influences and regulates these hormones to a degree. When levels are in flux, the sleep cycle may also be disrupted, leading to feelings of fatigue.

Age related hormonal

Along with the hormonal causes outlined above, there are several lifestyle factors that can trigger fatigue. Other diseases may lead to fatigue as well.

Continue reading to learn more about these other possibilities, as a combination of factors may cause fatigue.

Other Causes of Fatigue

In addition to the causes outlined above, there are other, less common causes that can lead to fatigue in menopausal women. If fatigue is experienced in conjunction with other symptoms, consulting a trusted medical professional is recommended. For instance, if chronic fatigue is experienced along with weight gain, the problem may be a thyroid dysfunction, which is one of the more common conditions listed.

Fatigue-causing Diseases

  • Thyroid dysfunction
  • Heart disease
  • Anemia
  • Insomnia, narcolepsy, or sleep apnea
  • Depression
  • Anxiety

Risk Factors for Chronic Fatigue

  • Allergies
  • Excess alcohol and caffeine consumption
  • Poor diet
  • Stress
  • Jet lag
  • Sedentary lifestyle
  • Boredom

Certain lifestyle choices, such as a poor diet or over-consumption of sugar and caffeine, can negatively impact sleep quality, leading to fatigue during menopause. Exercise is important in maintaining overall health. However, exercising too close to bedtime can make falling asleep difficult, potentially perpetuating fatigue. Whatever the cause, it is important to manage fatigue before it negatively impacts daily life.

As the main cause of fatigue is changes in hormone levels, the most effective way to beat fatigue is to treat it at the hormonal level. Keep reading to learn more about treatments for fatigue in order to overcome it.

Things to Know about Thyroid Disease and Fatigue

Thyroid disease and fatigue are conditions that have the potential to be devastating to everyday life. They can leave sufferers zapped of energy and unable to perform simple tasks. This article explores different aspects of these conditions and things you can do to relieve them.

Are Vitamins the Solution for Fatigue?

Fatigue is a complex condition, not least because there are so many possible causes that it is sometimes difficult to pinpoint why it has occurred, and this can sometimes make finding the correct treatment a challenge. This article addresses the question of whether or not vitamins are a viable solution, looking at the evidence.

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  • Schwartz, M.D. & Mong, J.A. (2013). Estradiol modulates recovery of REM sleep in a time-of-day-dependent manner. American Journal of Physiology: Regulatory, Integrative and Comparative Physiology, 305(3), R271-280. doi: 10.1152/ajpregu.00474.2012