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What causes fatigue?

For women undergoing the menopausal transition, the most likely cause of fatigue is the fluctuation in hormones that occurs naturally at this time. Hormones are responsible for controlling energy at the cellular level, thus when levels of oestrogen and progesterone decrease, so do energy levels. Compounding this, hormones also play a role in regulating the sleep cycle. These fluctuations will also affect a woman’s ability to get a good night of rest, leading to fatigue in the morning. In less common situations for women in the menopausal transition, there are a number of other medical conditions that are liable to cause fatigue.

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