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Fatigue in menopause

Fatigue and menopause

Fatigue is a very common symptom of menopause. Find out more about what causes it, possible treatments, and how we can help.

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Medically reviewed by Dr. Liz Andrew

BMS Accredited Doctor

iconReviewed: 08/01/2025 Published: 9/01/2025
Facts

How common is this symptom?

68%

Of menopausal women experience fatigue

85%

Of perimenopausal women experience fatigue

Top 5

Fatigue is one of the top 5 most common menopausal symptoms

Ref:https://www.sciencedirect.com/science/article/pii/S1028455921001388
https://www.evernow.com/menopause-study#:~:text=These%20are%20the%20actual%20signs,%2C%20depression%2C%20or%20mood%20swings.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8002518/#:~:text=Fatigue%20frequently%20occurs%20in%20women,period%20%5B1%2C5%5D

What is fatigue?

Fatigue is a common symptom during menopause, often caused by hormonal fluctuations, sleep disturbances, and increased stress. Many experience persistent tiredness, making it harder to stay active and focused throughout the day. Understanding the causes of menopause-related fatigue can help identify strategies to boost energy and improve overall well-being.

Fatigue in menopause

Learn more about this symptom

Fatigue is a constant feeling of tiredness or lack of energy. It is a deep sense of exhaustion that affects the body and the mind, and that makes even simple daily tasks feel very challenging. Unlike normal tiredness, fatigue can last for a long time, no matter how much you sleep or rest.

Physically, fatigue can feel like a heavy weight dragging you down, leaving your muscles weak and your movements slower. You might find it hard to get out of bed or feel drained even after simple activities.

Mentally, fatigue can cloud your thinking, making it harder to concentrate, process information or stay engaged in conversations. Many people describe it as a fog or a feeling of being disconnected from the world around them.

  • Oestrogen fluctuates and declines: Falling oestrogen levels affect your body’s ability to regulate energy and maintain stamina, often leaving people feeling drained and sluggish.
  • Progesterone declining: Progesterone plays a role in promoting restful sleep. When levels drop, it can lead to disrupted sleep patterns, contributing to persistent daytime fatigue.
  • Cortisol fluctuations: Hormonal shifts during menopause can increase stress hormone (cortisol) levels, which deplete energy reserves and contribute to feelings of exhaustion.

HRT can restore balance to your body and energy levels by replacing lost hormones. In turn, this can:

  • Improve sleep quality, reducing night sweats and insomnia.
  • Stabilise hormonal levels to combat persistent tiredness.
  • Address other symptoms, like anxiety and depression, that worsen fatigue.
  • Balanced diet: Eating small, nutritious meals throughout the day can maintain energy levels.
  • Exercise: Even light activity can boost energy by improving circulation and releasing endorphins.

Stress management techniques: Mindfulness or breathing exercises can help reduce feelings of exhaustion.

A few lifestyle tips that can help

  • 1

    Start your day with a brisk 10-minute walk in the fresh air

    This will wake up your body and mind, setting you up for the day

  • 2

    Stay well hydrated throughout the day

    Keep a water bottle handy and sip it throughout the day to stay hydrated and maintain your energy levels.

  • 3

    Set aside a few 5-minute breaks during your day

    Use this time to stretch, breathe deeply and recharge your focus.

Feel like yourself again

Book a consultation with a menopause specialist, or take our symptom quiz to get recommended a clinician who can help you.

How can we help?

At Menopause Care, we specialise in helping women navigate the emotional and physical challenges of menopause, including fatigue. Here is how we can assist:

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Appointment with our clinicians

Our expert team will listen to your concerns, assess your symptoms and recommend treatment options tailored to your needs. Whether it’s HRT, alternative medication or a holistic treatment plan, we are here to help you feel better.

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Bespoke treatment

We provide personalised treatment plans that address not just this symptom but all aspects of menopause. We take a holistic approach to ensure you feel supported throughout your journey.

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Affordable ongoing care

Managing menopause symptoms is an on-going process. We offer affordable monthly plans that cover your medication, follow-up appointments with the same doctor and more, to help you stay on track.

Menopause care starts here

Book a consultation with a menopause specialist, or view our plans and pricing.

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