Menopause Fatigue: Symptom Guide

October 18, 2023
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What is menopause fatigue? 

Fatigue is a feeling of constant exhaustion, burnout, or overall lack of energy. It can be physical, mental, or even a combination of both. 

What causes menopause fatigue? 

Fatigue during menopause may happen because of the hormonal changes that take place during this transition. 

What is happening inside your body?

During perimenopause, your ovaries stop producing as much estrogen and progesterone. This can affect other hormones, such as adrenal and thyroid hormones that regulate cellular energy in the body. If they are imbalanced, you may feel fatigued.

Lower quality of sleep due to hot flashes and night sweats can also lead to fatigue and even insomnia. 

What are some medical-provider-prescribed menopause fatigue treatments?

  • Hormone therapy: By restoring estrogen levels, this type of therapy can help reduce hot flashes, which could have a positive effect on energy levels.

  • Nonhormonal medication: Selective serotonin reuptake inhibitors (SSRIs) or selective norepinephrine reuptake inhibitors (SNRIs) can assist in improving sleep by reducing hot flashes and night sweats. 

What are some non-medical treatments for menopause fatigue?

  • Exercise: While exercise may feel difficult with fatigue, it can improve energy levels overall for women going through menopause.

  • Avoiding stimulants and alcohol: Relying on caffeine, although tempting when energy levels are low, may disrupt sleep and make you feel even more tired during the day. Similarly, alcohol lowers sleep quality overall, and for some, it triggers hot flashes.

  • Bedtime routine: Introducing a regular schedule for sleeping and waking can help with getting enough sleep and may help your energy levels.

  • Supplements: 
  • Ashwagandha.
  • Essential fatty acids like omega 3's (found in fish oil!)
  • Iron.
  • Vitamin B12 (especially as B12 deficiency can cause tiredness)
  • Creatine.
  • Beetroot Powder.
  • Tyrosine.
  • DHEA.

What should you do next? 

Let’s get you prepared to be paired with your provider! 

Select and submit all of the symptoms you are currently experiencing so your doctor can assess and provide a tailored treatment plan for you.


In one study, 85% of post-menopausal women reported symptoms of physical and mental exhaustion compared to just 19.7% of pre-menopausal women.