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Why Perimenopause Fatigue Happens and What You Can Do About It

Ladywell Blog: Perimenopause Fatigue and What You Can Do About It

More women today are choosing to have children later in life—a powerful shift that means many of us go from the whirlwind of pregnancy and postpartum straight into another life-altering transition: perimenopause.

It can feel jarring. Just as you begin to feel like yourself again, a new wave of hormonal changes creeps in—and one of the most common and frustrating symptoms is fatigue. Here’s why perimenopause can leave you so drained, and what you can do to restore your energy and feel like yourself again.

 

What Is Perimenopause?

Perimenopause is the transitional phase leading up to menopause, when hormone levels—especially estrogen and progesterone—begin to fluctuate. Unlike menopause, which is officially marked by 12 months without a period, perimenopause can last 4 to 10 years.

During this time, these hormonal shifts can lead to a range of symptoms, including irregular periods, brain fog, anxiety, hot flashes—and yes, unrelenting tiredness.



 

Why Am I So Tired During Perimenopause?

There’s no single cause of perimenopause fatigue—it’s often a perfect storm of hormonal and lifestyle-related factors:

1. Hormonal Imbalances

Estrogen and progesterone don’t just affect your period. They also play key roles in sleep regulation, energy production, mood, and stress resilience. As these hormones begin to decline or swing unpredictably, energy levels often crash.

2. Poor Sleep Quality

Sleep disturbances—like night sweats, insomnia, or early waking—are extremely common in perimenopause. Estrogen helps regulate your sleep-wake cycle, and its drop can wreak havoc on your rest.

3. Thyroid Changes

Perimenopause can also impact thyroid function. Symptoms like sluggishness, cold intolerance, and weight gain might indicate a need for a full thyroid panel.

4. Emotional Load + Burnout

Midlife often brings high emotional demands: caregiving for kids and aging parents, career shifts, or relationship transitions. Combined with hormone changes, this stress can be physically and emotionally draining.

 


 

How Long Does Perimenopause Fatigue Last?

It varies. For some women, fatigue comes and goes with hormonal fluctuations throughout the cycle. For others, it becomes more intense closer to menopause. The good news: there are practical, natural ways to support your energy during this phase of life.


 

How to Beat Perimenopause Fatigue Naturally


Move Your Body

Exercise increases circulation, boosts mood-enhancing endorphins, and helps regulate hormones. Even light movement like walking or stretching can make a difference. Aim for 30 minutes of moderate activity most days, and consider adding in strength training for extra metabolic and hormonal benefits.

Prioritize Sleep

Deep, restorative sleep is key to surviving hormonal shifts. Support your sleep with:

  • A consistent bedtime and wake time

  • A cool room temperature (65–67°F)

  • Dimming lights and limiting screens before bed

  • Gentle breathing or meditation to calm your nervous system

 

Balance Blood Sugar

Blood sugar crashes can mimic or worsen fatigue. Limit refined sugar and pair carbohydrates with protein or healthy fats to stabilize energy throughout the day.

 

Support Your Hormones with Supplements

Nutrients like Magnesium, B vitamins, and Vitamin D play essential roles in hormone regulation and energy production. It can be hard to get enough through food alone—especially when stress and fatigue impact digestion and absorption.

Ladywell’s Daily Hormone Balance is a clean, research-backed blend of adaptogens, functional mushrooms, vitamins, and amino acids formulated to help regulate mood, energy, focus, and calm during hormonal transitions. It’s specifically designed to support women through perimenopause, postpartum, and high-stress seasons of life. If you’re looking for targeted, natural support, this could be a game changer.

 

Cut Back on Caffeine

While caffeine offers a quick boost, it can spike cortisol, disrupt sleep, and lead to an energy crash later. Keep coffee before noon and consider swapping to green tea or matcha for gentler stimulation.

 

Ditch or Limit Alcohol

Alcohol interferes with sleep, hydration, and cellular energy production. Cutting back—even just on weeknights—can help your body recharge more effectively.

 

Stay Hydrated with Electrolytes

Dehydration—even mild—can worsen fatigue. Water is key, but don’t forget electrolytes. These minerals support adrenal health, energy metabolism, and hormonal function.



When to Talk to a Doctor

Just because perimenopause is “normal” doesn’t mean you have to suffer through it. If your fatigue is interfering with your daily life or feels extreme, consult with a provider who understands women’s hormones. A proper evaluation can help identify if additional testing or treatments—like hormone therapy or thyroid support—are right for you.


 

Final Thoughts

Perimenopause fatigue is real, but it’s not a life sentence. With the right support—nutritional, emotional, and hormonal—you can feel energized, resilient, and balanced again. Your next chapter is just beginning, and you deserve to feel good in it.

 

Disclaimer

The information provided in this blog is for educational purposes only and is not intended as a substitute for professional medical advice. Always consult a qualified healthcare provider before making any changes to your health regimen, especially if you are pregnant, nursing, or taking any medications.

Ashley Rocha, Founder & CEO of Ladywell

Ashley is a trained herbalist specializing in women's health. Through Ladywell, she has helped 1000’s of women regain hormone balance, fix PMS, improve fertility and gracefully navigate perimenopause to live pain-free, fulfilling lives.