Around 20% of Americans claim to have fatigue intense enough to interfere with their daily lives. Physical causes are estimated at 20-60%, and emotional causes are at 40-80%.

Fatigue is one of the most frequently experienced symptoms of menopause, with up to 80% of women reporting this experience at one time or another. Difficult to pinpoint and sneaky in its effects, fatigue can make this already tumultuous phase even harder to deal with, by making women irritable and unable to concentrate.

Primarily caused by the hormonal changes that come along with menopause, fatigue can be exacerbated by  illnesses, other menopausal symptoms, behavior, or lifestyle. By understanding more about the causes and effects of fatigue, it is possible to overcome it. Read on to learn more about fatigue, how to recognize it, its causes, and possible treatment options in order to regain energy.

About Fatigue

In order to understand what fatigue is, it's helpful to outline the signs and symptoms of fatigue during menopause.

Fatigue is defined as an ongoing and persistent feeling of weakness, tiredness, and lowered energy levels. This should be distinguished from drowsiness, which implies an actual urge to sleep. Fatigue involves a lack of energy rather than sleepiness.

Another distinction that must be made is that between fatigue as a symptom of menopause and chronic fatigue syndrome, which is a more serious and complicated disorder. Chronic fatigue syndrome includes periods of extreme fatigue that do not improve with bed rest, may worsen with physical or mental activity, and is often tied to other illnesses.

This symptom can be distinguished by a variety of mental and physical characteristics. Often these symptoms can be experienced in tandem. A woman undergoing menopause might feel a lag in energy levels that lasts all day, or experience shorter bursts of fatigue intermittently.

Fatigue´s mental and physical characteristics

Fatigue is particularly frustrating as it has a  duel effect on both mind and body, making the completion of normal tasks difficult if not impossible.

Click on the following link to read more about fatigue, or continue reading to learn about the causes of fatigue.


Menopausal fatigue is a frustrating symptom. While exercise seems like the last thing you want to do when experiencing fatigue, it is actually the best way to boost energy levels and reduce stress. Several low impact workouts that have been shown to help with fatigue include swimming and Zumba.


Regaining your active life during menopause is key to preventing and managing menopausal symptoms like fatigue and weight gain. There is a myriad of other health benefits that come with regular exercise, like increased energy levels and reduced stress. Swimming and yoga are two excellent forms of low-impact aerobic exercise.


Causes of Fatigue

Age – Related Hormonal declineFor women undergoing the menopausal transition, the most likely cause of fatigue is the fluctuation of hormones that occurs naturally during this time. Hormones are responsible for controlling energy at the cellular level, thus, when levels of estrogen and progesterone decrease, so do energy levels.

Hormones also play a role in regulating the sleep cycle. These fluctuations also affect a woman's ability to get a good night of rest, leading to fatigue in the morning.

Other hormones that are involved in this process include the thyroid and adrenal hormones, as well as melatonin. They all work at the cellular level to regulate energy levels, which means when the hormone levels naturally decrease during menopause, so do a woman's energy levels. This is what leads to the feeling of persistent fatigue.

While most middle aged women experiencing fatigue as a result of the hormonal changes that occur naturally during this time period, there are certain other, less common conditions such as thyroid disorders or depression, that are liable to cause fatigue as well.

Other Causes of Fatigue

• Adrenal fatigue
• Thyroid dysfunction
• Sleep disorders
• Narcolepsy
• Psychological illness
• Depression
• Anxiety
• Chronic fatigue syndrome
• Sleep apnea
• Heart disease
• Anemia

Risk Factors for Fatigue

• Allergies
• Alcohol/drugs/caffeine
• Poor diet
• Stress
• Jetlag
• Sedentary lifestyle
• Boredom

Click here to learn more about the causes of fatigue or keep reading to learn more about the different treatment options for this troubling menopausal symptom.


Diets can cause fatigue because most of them call for significantly cutting your daily calorie intake. This leads malnutrition and fatigue. The best way to avoid fatigue due to dieting is to maintain a healthy balance. This includes eating healthy meals often and exercising regularly.


Fatigue can be brought on by several different triggers, which can be divided into three major categories. They include lifestyle, psychological, and medical triggers. Some are easier to treat than others, but incorporating simple things like regular exercise, a healthy diet, and relaxing stress relieving activities into your daily routine can help prevent fatigue.


Treatments for Fatigue

National Trends
According to a new nationwide government survey, 36% of U.S. adults aged 18 years and over use some form of complementary or alternative medicine.

There are a number of treatment options to help manage and alleviate fatigue. It is generally recommended that women begin with the least invasive option, which would be lifestyle changes. In the case of fatigue, this involves such steps as getting enough sleep, making a few dietary changes, and exercising.

Natural Remedies:  alternative medicine is a good option to treat fatigueThe most effective approach, as fatigue in menopausal women is primarily caused by a hormonal imbalance, is to treat the problem directly at the source. A variety of natural and alternative supplements exist that can address this imbalance.

For more prolonged or drastic cases of fatigue, it may be necessary to seek the advice of a healthcare professional and possibly turn to surgical or pharmaceutical options, though these carry the greatest risk of side effects.

Click on the following link to learn specific treatments for fatigue, which begin with lifestyle changes, move onto alternative medicines, and finally, if those options don't help, drugs and surgery. The most effective treatments for fatigue typically combine lifestyle changes and alternative medicines.


Fatigue can make daily functioning impossible, as the sufferer cannot carry out even simple tasks without feeling exhausted. Managing fatigue at work can seem impossible, but it can be done. This article gives simple lifestyle tips on preventing fatigue from affecting your efficiency at work.


Low impact exercises are one of the best ways to fight fatigue safely and naturally. They are easy to incorporate everyday life and do not put the body under too much stress. This article gives hints and tips on the best exercises to try in order to combat fatigue.


More About Fatigue

Fatigue Overview

  • Hutchinson, Susan M.D. "The Stages of a Woman's Life: Menstruation, Pregnancy, Nursing, Perimenopause, Menopause". November 2007.
  • Love, Susan M.D. Menopause and Hormone Book. New York: Three Rivers Press, 2003.
  • BMJ Group. "Menopause: What is it?" Patient Leaflet. 2007.
34 Menopause Symptoms

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