Fatigue in Women Due to Perimenopause and Menopause Symptoms

By Dược Bình Đông

Pharmaceuticals

Tue, 21 Jan 2025

Fatigue in women during perimenopause and menopause is not just ordinary tiredness but a result of complex hormonal changes. This is a natural phase in a woman’s life, typically occurring between the ages of 45 and 55, yet it brings unexpected physical and emotional health challenges. Why does this phase lead to fatigue? How can it be identified and managed? Let’s explore the details.

1. Perimenopause, Menopause, and Hormonal Changes

During perimenopause and menopause, ovarian function gradually declines, leading to a significant reduction in the production of essential hormones, especially estrogen and progesterone. These hormones play key roles in various physiological processes, particularly those related to the menstrual cycle, bone health, the nervous system, and blood circulation.

Estrogen Decline:
Reduced estrogen levels affect energy maintenance, sleep regulation, and psychological stability. This deficiency also increases the risk of osteoporosis and memory problems.
Progesterone Decline:
Progesterone helps regulate sleep and reduce stress. Lower levels of this hormone often result in insomnia, anxiety, and prolonged fatigue.

2. Why Does Menopause Cause Fatigue?

Fatigue during perimenopause and menopause stems from simultaneous physiological and psychological changes. The following symptoms are the main causes of fatigue:

2.1. Sleep Disorders

Women during this stage often experience sleep issues, including difficulty falling asleep, waking up at night, or poor-quality sleep. The primary culprits are hot flashes and night sweats, which are common menopause symptoms.

Consequences:
Poor sleep prevents the body from recovering energy, leading to prolonged tiredness and fatigue.

2.2. Anxiety and Psychological Stress

This phase is also accompanied by psychological changes such as anxiety, mild depression, or feelings of uncertainty. Hormonal imbalances affect not only physical health but also disrupt emotional regulation.

Consequences:
Persistent emotional instability reduces motivation and increases feelings of exhaustion, making daily activities harder to manage.

2.3. Reduced Physical Stamina

Hormonal decline leads to a loss of muscle and bone density, decreasing the body’s endurance. Even light physical activities can become challenging, causing tiredness.

Consequences:
The body is more prone to exhaustion, muscle aches, and slower recovery after exertion.

2.4. Changes in Circulation and Metabolism

Menopause can cause changes in the circulatory system, including higher risks of hypertension, lipid imbalances, and reduced blood flow.

Consequences:
Lower oxygen and blood supply to organs result in fatigue and reduced energy levels.

3. Signs of Fatigue During Perimenopause and Menopause

Fatigue caused by menopause and perimenopause is not just about feeling tired but is often accompanied by other symptoms:

Persistent Tiredness:
Feeling drained even after adequate rest.
Sleep Disorders:
Difficulty falling asleep, waking up frequently, or restless sleep.
Reduced Concentration:
Forgetfulness and trouble focusing on work or daily activities.
Muscle and Joint Pain:
Joint discomfort, muscle cramps, or stiffness.
Emotional Instability:
Anxiety, irritability, mild depression, or unexplained sadness.

4. Is Fatigue During Menopause Dangerous?

Fatigue during perimenopause and menopause, if not addressed promptly, can lead to serious consequences:

Increased Risk of Chronic Diseases:
Osteoporosis, cardiovascular disease, type 2 diabetes, and metabolic disorders.
Impact on Quality of Life:
Women may feel imbalanced in managing work, family, and social relationships.
Higher Risk of Depression:
Prolonged emotional instability can result in severe depression, negatively affecting mental and physical health.

5. How to Manage Fatigue During This Stage

To alleviate fatigue caused by perimenopause and menopause, women can adopt the following strategies:

5.1. Balance Hormones

Consult a doctor for hormone replacement therapy if necessary. Additionally, consuming foods rich in phytoestrogens, such as soybeans and flaxseeds, can help improve symptoms.

5.2. Maintain a Healthy Diet

Increase calcium and vitamin D intake to support bone health.
Eat plenty of vegetables, fruits, and fiber-rich foods to boost metabolism.
Avoid fatty foods, sugary snacks, and stimulants.

5.3. Engage in Regular Physical Activity

Opt for gentle exercises like yoga, walking, or swimming to enhance stamina.
Regular exercise improves mood and promotes better sleep.

5.4. Manage Stress

Practice relaxation techniques such as meditation, deep breathing, or listening to calming music to reduce anxiety and stress.

5.5. Schedule Regular Health Check-Ups

Undergo periodic health screenings to detect early signs of menopause-related issues, especially cardiovascular disease and osteoporosis.

Conclusion

Fatigue in women during perimenopause and menopause is a natural consequence of complex hormonal and physiological changes. While this condition impacts health and quality of life, adopting a healthy lifestyle, managing stress, and seeking regular medical care can help women navigate this phase more easily and live a healthier, more fulfilling life.