Understanding Fatigue and Low Energy During Perimenopause and Menopause

Fatigue and low energy are among the most disruptive symptoms women face during perimenopause and menopause. Nore Women’s Health specializes in helping women navigate these challenges with a comprehensive, personalized approach that addresses both the root causes and the daily impact of hormonal changes.

Nore Women’s Health is led by experienced menopause specialists who understand the complex interplay between hormones, stress, and overall well-being. Our team, including board-certified nurse practitioners, takes time to listen and develop treatment plans tailored to each woman’s age, symptoms, and health goals.

Nore begins with a thorough evaluation to differentiate between menopause-related fatigue, adrenal fatigue, and other possible causes such as thyroid disorders or vitamin deficiencies. This ensures that women receive targeted care, not just a generic solution.

Innovative Treatment Options

Bioidentical Hormone Therapy (BHRT)

Nore offers BHRT using plant-derived hormones that closely mimic those naturally produced by the body. This therapy helps restore hormonal balance, which can significantly improve energy levels, mental clarity, mood, and overall vitality during menopause.

Adrenal Fatigue Support

Recognizing the strong link between chronic stress, adrenal health, and menopausal symptoms, Nore provides specialized adrenal fatigue assessments and treatments. They guide women in stress reduction, sleep optimization, and lifestyle changes that support adrenal recovery and smoother menopausal transitions.

Symptoms like persistent fatigue, brain fog, and mood changes are addressed with holistic strategies, including dietary guidance and stress management techniques.

Vitamin Therapy and IV Nutrient Support

Nore offers comprehensive micronutrient testing to identify deficiencies that may contribute to fatigue. Treatments could include:

Vitamin B12 shots and Vitamin D injections to boost energy and support metabolic health

IV Vitamin Therapy (such as the Myers’ Cocktail) delivers high doses of essential nutrients directly into the bloodstream for rapid absorption and immediate energy benefits. These infusions can include B vitamins, vitamin C, magnesium, and more, tailored to each patient’s needs.

Magnesium supplementation and other targeted nutrients support adrenal and overall cellular energy production.

Lifestyle and Nutrition Counseling

Nore’s providers help women adopt balanced diets, regular physical activity, and sleep hygiene practices that are proven to minimize fatigue and support long-term health.

They offer guidance on women’s health supplements to fill nutritional gaps and support optimal wellness.

Treatment at Nore is not one-size-fits-all. They regularly monitor progress, adjust therapies as needed, and provide ongoing education and encouragement. Women are empowered to track their symptoms, make informed choices, and take an active role in their health journey.

With modern clinics in Marietta and Roswell, GA, we provide a welcoming, women-focused environment. Appointments are efficient, and most major insurances are accepted, making expert care accessible and convenient.

Menopausal fatigue, low energy, chronic fatigue syndrome (CFS), and thyroid disease can all cause profound tiredness, but they differ significantly in causes, symptoms, and treatment approaches.

The Key Differences:

• Duration: Menopausal fatigue is often cyclical and linked to hormonal fluctuations, while CFS is chronic and persistent. Thyroid fatigue improves with proper medication.
• Triggers: Menopause is age- and hormone-related; CFS may be post-viral or stress-related; thyroid disease has an autoimmune or endocrine basis.
• Diagnosis: Menopause is clinical, supported by symptoms and sometimes hormone levels; CFS is diagnosed by exclusion; thyroid disease is confirmed via lab tests.

Menopausal Fatigue and Low Energy

• Cause: Primarily hormonal changes—especially declining estrogen and progesterone levels—that disrupt sleep, mood, metabolism, and energy regulation.
• Symptoms: Persistent tiredness, brain fog, low motivation, sleep disturbances (often due to night sweats), emotional sensitivity, and cravings for sugar or stimulants.
• Onset: Typically appears during perimenopause or menopause.
• Treatment: Hormone therapy, lifestyle modifications, improved sleep hygiene, stress management, and nutritional support.

Chronic Fatigue Syndrome (CFS / ME)

• Cause: Unknown, though often follows infections, trauma, or stress; believed to involve immune dysfunction, inflammation, and neurological dysregulation.
• Symptoms: Debilitating fatigue lasting 6+ months, post-exertional malaise (extreme fatigue after activity), unrefreshing sleep, memory issues, and muscle or joint pain.
• Onset: Can occur at any age; more common in women.
• Treatment: No cure—management includes pacing, cognitive behavioral therapy, and symptom relief strategies.

Thyroid Disease (e.g., Hypothyroidism)

• Cause: Underactive thyroid (hypothyroidism) leads to insufficient thyroid hormone production, slowing metabolism.
• Symptoms: Fatigue, cold intolerance, weight gain, constipation, depression, dry skin, and slowed heart rate.
• Diagnosis: Confirmed through blood tests (TSH, T3, T4).
• Treatment: Hormone replacement therapy with synthetic thyroid hormone (levothyroxine).

Perimenopause typically begins in a woman’s 40s, though it can start as early as the mid-30s for some. This transitional phase can last anywhere from 4 to 10 years and is marked by fluctuating hormone levels, particularly estrogen, which cause irregular menstrual cycles and symptoms like hot flashes, sleep disturbances, mood swings, and fatigue.

Menopause officially begins when a woman has gone 12 consecutive months without a menstrual period, usually around the average age of 51 in the U.S. At this point, the ovaries have significantly reduced hormone production, and fertility ends.