Fatigue
Fatigue is not the tiredness from a hard day or week – rather it is the constant feeling of running on empty.
It is one of the trickier perimenopause and menopause symptoms because several other conditions common among South African women (thyroid problems, iron deficiency/low iron, Vitamin D deficiency) can look the same.
Knowing what to rule out with your doctor does matter. The full picture on menopause-related fatigue, as well as some medical tests that may potentially be done.
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My Menopause SA
Evidence-based menopause information for South African women.
Page last reviewed: 1 March 2026
Next review due: 1 March 2027