Why do many women feel exhausted during perimenopause?

#What’s really going on with your energy during perimenopause?

Perimenopause is that transitional time before menopause when your hormone levels start to shift. You might notice your periods becoming irregular or mood swings popping up unexpectedly. Alongside these changes, one of the most common complaints is feeling unusually tired—even when you’re doing all the things that usually keep you going.

How do hormones affect your energy?

The main players here are your oestrogen and progesterone levels. These hormones don’t just regulate your cycle; they influence your brain chemistry and how your body generates energy. As their balance changes, your body might feel like it’s running on a different rhythm. This can mean:

• Lowered energy production at a cellular level
• Disrupted sleep patterns, making rest less restorative
• Increased feelings of fatigue or brain fog

Your thyroid can also be a quiet companion in this journey, sometimes becoming a little less active, which can add to that sluggish feeling. If you’ve ever wondered why your thyroid might be quieter than you think, this is a good moment to consider it.

#Listening to what your body is really asking for

Feeling exhausted isn’t just about pushing through your to-do list; it’s a signal. Your body may be asking for more nourishing sleep, better nutrition, or just a slower pace. Perimenopause is a perfect time to practice gentle curiosity about your energy levels rather than brushing them off.

Sometimes, this exhaustion overlaps with other common experiences like increased sugar cravings or that mid-afternoon slump. If this sounds familiar, you might find it useful to explore why you’re tired at 3pm—and what actually helps for some practical insights.

What can help you feel a bit more like yourself?

Here are some gentle ways to support your changing body:

• Prioritise rest and listen to your natural rhythms
• Include balanced meals that stabilise blood sugar
• Move in ways that feel good without overdoing it
• Consider mindfulness or relaxation techniques to ease stress

Remember, wellness during perimenopause isn’t about a quick fix. It’s about tuning in and responding with kindness and curiosity.

#When to seek personalised support

If your exhaustion feels overwhelming or persistent, it’s a good idea to speak with a healthcare professional who can look at your hormones, thyroid function, and overall health. Everyone’s experience is unique, and personalised care can make a real difference.

You may also be interested in understanding more about hormonal changes during this time in our Perimenopause and menopause: the wellness side article.