This fatigue can be both mental and physical3. In other words, it goes beyond just feeling “tired,” and can interfere with your ability to focus and go about your daily life, says Lauren Torrisi-Gorra, M.S., R.D., a registered dietitian.
Menopause fatigue is largely caused by fluctuating hormone levels4, though other symptoms of menopause can make it worse5. Symptoms like lack of sleep, hot flashes, and depression (caused by hormonal changes) exacerbate the issue, says Sheeva Talebian, M.D., a gynecologist and reproductive endocrinologist.
You may experience fatigue before, during, or after your transition to menopause. This transition typically starts between the ages of 45 and 55. However, some people start to experience menopause symptoms as early as age 40. In some cases, menopause symptoms can last up to 14 years (joy!).