Crashing Fatigue During Menopause


Crashing Fatigue During Menopause

Many women experience crashing fatigue during menopause and spend wasted time in trying to battle it, before they know the cause behind it.  When you know what’s causing your fatigue, you have a better understanding in how to address it.  We’re going to break it up into 2 categories for easier focus and understanding in the cause (s) of your fatigue before, during and after menopause:  that being the  physical and psychological origins of fatigue.

What Is Crashing Fatigue


Crashing fatigue can be described as a complete lack of motivation, both physical and mental.  You may tire easily while performing tasks, have trouble focusing and trouble with remembering things, and you may even experience some irritability.

Fatigue is different than being sleepy.  Being sleepy is the state of  needing sleep.  Whereas, fatigue is a symptom of an illness or condition that can be either physical or psychological in nature…or, a combination of the two.

Though there are many illnesses/conditions that can cause fatigue such as cancer, heart disease, depression, Lupus, fibromyalgia, etc.; however, we’re going to focus on our “condition” at hand.  That being either perimenopause, menopause or post menopause.  Once you rule out (with the help of your doctor) any serious illness or condition, you’ll have a better understanding in how to deal with it.

According to research,  61% of women suffer from insomnia and up to 92% of women report feelings of fatigue during menopause.  92%!!  Fatigue and lack of sleep not only affect quality of life, but can also lead to serious health consequences. Recent research has linked sleep deprivation with high blood pressure, stroke, Alzheimer’s disease, and diabetes.


Physical Causes Of  Crashing Fatigue During Menopause

  • Decreased estrogen.  During Menopause, your body produces less estrogen, triggering changes throughout your system that can lead to interrupted sleep.  Some of the changes that take place include hot flashes, night sweats, anxiety, pain and depression.  The fatigue that comes as a result of continuous cycles of insomnia are referred to as “crashing fatigue”.
  • Heavy bleeding.  Many women experience extremely heavy menstrual bleeding during perimenopause.   Heavy bleeding can cause iron deficiency anemia that can lead to fatigue.  If you are experiencing heavy bleeding, check with your doctor about having blood work done to test for your iron levels.
  • Low thyroid function.   At this time in our lives many women develop a thyroid condition from increased TSH (thyroid stimulating hormone) levels greater than 2 (with 0.50-2.0 being normal during perimenopause) which is indicative of hypothyroidism and can cause fatigue.  Again, check with your doctor to see if you need blood work to determine your levels.

Psychological Causes Of Crashing Fatigue During Menopause

  • Depression.  Probably the most common psychological cause of fatigue during all phases of menopause is depression.  Depression can be triggered by fluctuating hormone levels, diet and insomnia.
  • Stress and anxiety.  Symptoms of stress and anxiety can be directly related to those unstable hormones we’ve already mentioned.  Stress and anxiety at menopause is frequently the result of unresolved emotions which often accompany all the changes taking place during midlife.

What Can I Do For My Crashing Fatigue During Menopause?

    • Get your hormones in balance.   Depending on your levels, hormones can be managed with proper nutrition (click to see my hormone balancing food plan) or with natural hormone therapy.  If hormone therapy is necessary, I recommend bioidentical hormones that are made from soybeans and yams.  Their molecular structure is designed to be an exact match of the hormones found in the human body.
    • Manage stress.  I recommend yoga and meditation for stress relief, as well as for insomnia.
    • Beat insomnia.  Through a balanced diet, yoga and meditation, you can usually keep insomnia at bay.  Click to see more on natural cures for insomnia.
    • Natural vitamins and supplements:  Ginseng, iron, magnesium, fish oil, evening primrose oil, DHEA, melatonin, vitamins B12 and B6

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Sum Up

take a nap

Be Kind To Yourself And Take A Nap

I just want to stress that if you are in any phase of menopause and suffering from moderate to severe fatigue, make sure you rule out any serious illness or condition with the help of your doctor, first!  You can try some of the suggestions here to treat your minor to moderate fatigue and will most likely see results within 2-4 weeks.  With regular and daily calming meditation and exercise, such as relaxing yoga, you may even have immediate relief from crashing fatigue during menopause.  And, remember to always be kind to yourself and take a nap whenever possible.  My best to you!

Please leave any questions or comments in the space below regarding fatigue during menopause.

Be Well!



16 thoughts on “Crashing Fatigue During Menopause

  1. I am a guy so I’ve never had any experience with menopause but I sure know what fatigue is!!
    I do know the difference between needing sleep and just not feeling up to stuff.
    So far in life the best remedy I’ve found for feeling nasty is to take a quick jog. Likely when you get to be 50 that gets to be a lot easier said than done.

    • Hi, Torrey! Yes, you’re right, exercise can revive you and help to eliminate that fatigued feeling. Jogging aside, I like to recommend yoga as the best form of therapy! thanks so much for taking the time to leave a comment…even though you ARE a guy! ha ha

      Be Well!


  2. I have worked with two women going through this and now my wife is starting to show signs as well. I am not sure if her fatigue is related to menopause just yet, but these tips sound just like what she needs to do. I will be recommending the exercise and meditation to her as I know the exercise helped with it before.

  3. Thank you Barb.
    This article is very helpful as I think I am entering “pre” menopause. Scary stuff. I often feel like the picture above you posted that you need to wind up to get going!
    No problems at the doctors but I just can’t always seem to “keep up”, didn’t think of my pre menopause being a possible reason.
    I will look into some of your advise here and see if it helps me. I think I’m going to pick up the yoga and see if that helps too.
    Thank you for the valuable information.

  4. I can easily understand that kind of fatigue, because due to bleeding women become anaemic. A few days are needed until the body regain its inner chemical balance.

    • Hi! thanks for visiting and taking the time to leave a comment. Yes, you’re exactly right, excessive bleeding that sometimes occurs in perimenopause can cause anemia…which leads to fatigue. Thanks, again!
      Be well!

  5. Hi, it’s Alexey. really nice and helpful post on a very common problem. I think you gave us some valuable information regarding to fatigue on menopause which will definitely help lot’s of people.
    I am not close to that age though, but I am aware of such problems with people at this age.
    Thanks for the share !

    • Hey, Alexey! Thanks for taking the time to read my article even though you’re waaay too young. 🙂 Maybe share with your mom? Thanks, again!

      Be well!

  6. Hello Barb,

    My wife went through menopause a few years ago ,and it certainly wasn’t fun for either one of us. She was extremely moody and always tired. She went to her doctor but he just told her it was “normal”. But from reading the info on your site, it’s obvious she suffered from fatigue. I think your site will help a lot of women and their families.


    • Hi, David! Ugh, sometimes doctors lose sight of the seriousness of symptoms even if they ARE “normal”. Being normal doesn’t help anyone to feel better. Good for you coming out the other side of menopause in one piece. ha ha That’s a joke, but for some it can be pretty rough. Thanks for popping in and leaving your comment, I always appreciate a male perspective.
      Be Well,

  7. Great article. I have been going through menopause for a number of years and fatigue has certainly played a part. At times it has been pretty hard to deal with – not only for me but my family as well. I’ll certainly look into some of your advice. Very professional site.

    • Hi, Ngaire! Yes, fatigue can be very debilitating at it’s worst and just a nuisance at it’s best. I hope you find some relief! Remember to take naps when you can!! Thanks so much for stopping by and leaving your comment.
      Be Well,

  8. You have a lot of great information here. I remember my mom going through menopause, every time she had hot flash, she would have sweat running down her face. Luckily my family is a fairly happy family so I never sign any sign of depression in her.

    But watching her go through menopause I made a decision that I wasn’t going to experience it that way. Your article is a timely article, when my time comes I will know where to turn to.

    • Aaaaw, that’s great, I’m happy I may have provided you with some valuable info. Remember, menopause shouldn’t be viewed as some horrible curse, but rather a time of your life to re-evaluate and open up to new things. You maybe interested in this article, as well…

      Thanks so much for stopping by and leaving a great comment! All my best to you!

      Be well,


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