Alternative Therapies, Managing Symptoms, Self-Care, Wellbeing
Are you constantly running on empty, even after a full night’s sleep? Do you feel like your energy has vanished, and no amount of coffee or rest seems to help?
If you’re in your 40s or 50s and feeling this way, you’re not alone—and you’re not imagining it. Fatigue is one of the most common (and most overlooked) symptoms of perimenopause and menopause.
At Bristol Menopause Clinic, we support women through every stage of hormonal change, helping you understand your symptoms, regain your energy, and feel more like you again.
Why Am I So Tired All the Time?
Fatigue during menopause is different from regular tiredness. It’s often described as a bone-deep exhaustion, affecting both mind and body. You might feel foggy, irritable, and unable to focus. Tasks you once handled with ease suddenly feel overwhelming.
This isn’t laziness or burnout—it’s hormonal.
How Hormones Affect Your Energy
During perimenopause and menopause, your reproductive hormones—especially oestrogen, progesterone, and testosterone—fluctuate and decline. These hormones play a vital role in everything from sleep to stress response, brain function, and mood regulation.
Here’s how the changes affect your energy levels:
Oestrogen
Helps regulate mood, sleep, and body temperature
When it drops, you may experience night sweats, poor sleep, low mood, and brain fog—all of which contribute to fatigue
Progesterone
Has a calming, sleep-promoting effect
Its decline can lead to anxiety, restlessness, and disrupted sleep
Testosterone
Supports stamina, drive, and muscle mass
Low levels can leave you feeling flat, unmotivated, and physically weak
It’s not just hormonal changes, either. Many women are also dealing with busy careers, parenting teenagers, or caring for ageing parents—all while their bodies are going through major shifts.
Fatigue or Something Else?
It’s easy to chalk fatigue up to stress or ageing, but it’s important to rule out other causes such as:
Thyroid dysfunction
Iron-deficiency anaemia
Vitamin B12 or D deficiency
Long COVID
Sleep apnoea
Depression or anxiety
At Bristol Menopause Clinic, we take a full health history and offer advanced blood testing to uncover all possible causes—not just hormonal ones.
What Can You Do About Menopausal Fatigue?
The good news? You can get your energy back. Here’s how we support our patients:
Hormone Replacement Therapy (HRT)
Tailored HRT can help balance your hormones, improve sleep, reduce brain fog, and restore vitality. It’s safe for most women and can be life-changing when prescribed correctly.
Sleep Support
We help address sleep disruption through:
Sleep hygiene strategies
CBT-i (Cognitive Behavioural Therapy for Insomnia)
Melatonin or other sleep aids if appropriate
Lifestyle & Nutrition Guidance
Blood sugar balance and protein-rich meals to avoid energy crashes
Magnesium, vitamin D, or iron supplementation where needed
Stress reduction strategies (breathwork, journaling, boundaries)
Movement That Works with Your Body
You don’t need to “push through.” We help you find the right kind of exercise to boost energy gently—like walking, yoga, or strength training tailored to midlife.
You’re Not Lazy. You’re Not Broken. You’re Hormonal.
So many women come to us saying, “I just don’t feel like myself anymore.” They’ve been told to “get on with it” or “wait it out.” But struggling through menopause without support isn’t a badge of honour—it’s unnecessary.
Fatigue doesn’t have to be your new normal.
Let’s Find Your Energy Again
At Bristol Menopause Clinic, we take a compassionate, medical approach to menopause and midlife health. We’ll help you:
Understand what’s happening to your body
Get personalised testing and care
Create a realistic, tailored plan for more energy and better wellbeing
You don’t have to figure this out on your own.