Fatigue and Sleep Issues Estrogen is intimately linked to serotonin, and serotonin makes melatonin. Melatonin is the primary sleep hormone. This means, if you've been sleeping less and feeling fatigued, you could have low estrogen.
Hot flashes, flushes, and night sweats are the most common symptoms of low estrogen. At times, blood rushes to your skin's surface. This can give you a feeling of warmth (hot flash). Your face may look flushed.
Thyroid. An overactive or underactive thyroid can often be the underlying cause of fatigue, particularly in women. This hormone controls your body's metabolic rate i.e. how food is converted to energy.
Elevated estrogen is associated with elevated energy levels. When estrogen dips too low and stays low, you can end up experiencing low energy all throughout your cycle.
Signs & Symptoms of Low Estrogen
Weight gain. Thinning hair. Dry skin/lips. Vaginal dryness (which may make sexual intercourse painful)
Estrogen is responsible for an increase in cortisol and testosterone levels, which naturally increase energy levels.
Some women find that Hormone Replacement Therapy (HRT) helps with their fatigue. HRT is an effective way of managing menopause symptoms and can improve the overall quality of your life, energy levels and sleep.
Thyroxine. The thyroid is responsible for creating thyroid hormones including thyroxine. Every cell in the body has thyroxine receptors found on its DNA, making it one very important hormone for your energy production. It essentially controls our ability to produce energy.
Some conditions that cause fatigue include thyroid disorders, iron deficiency anemia, diabetes, chronic fatigue syndrome, and COVID-19. Some other causes of fatigue may involve your diet, sleep, and levels of stress. Lifestyle changes can often improve feelings of fatigue in these situations.
In particular, estrogen replacement is considered the most effective treatment for the vasomotor symptoms that tend to occur in concert with fatigue and can be instrumental in restoring energy levels.
Most of the time fatigue can be traced to one or more lifestyle issues, such as poor sleep habits or lack of exercise. Fatigue can be caused by a medicine or linked to depression. Sometimes fatigue is a symptom of an illness that needs treatment.
A Fred Hutchinson Cancer Research Center study involving postmenopausal, overweight, and obese women who took 2,000 IUs of vitamin D daily for a year found that those whose vitamin D blood levels increased the most had the greatest reductions in blood estrogens, which are a known risk factor for breast cancer.
Estrogen helps protect the heart from disease, potentially by maintaining higher levels of good cholesterol, called high-density lipoprotein (HDL), in your blood. Lower estrogen levels, especially during menopause, can increase your risk of developing heart disease.
Because B vitamins play a vital role in the creation of estrogen, low levels of B vitamins can result in reduced production of estrogen. Vitamins B2 and B6, in particular, are associated with healthy estrogen levels.
Once treatment has taken effect and your hormones have stabilized, HRT can give you the energy you need to take better care of yourself. Many HRT experts will work with you to make healthy dietary choices, engage in physical fitness, and learn better ways to manage stress.
Sleep hygiene practices
not having a regular bedtime routine, which includes consistent sleep and wake times. taking long daytime naps. looking at phone or computer screens before going to bed. having a sleeping environment that is too hot, too bright, or too loud.
The first changes you will probably notice are that your skin will become a bit drier and thinner. Your pores will become smaller and there will be less oil production. You may become more prone to bruising or cuts and in the first few weeks you'll notice that the odors of your sweat and urine will change.
It may take a few weeks to feel the effects of treatment and there may be some side effects at first. A GP will usually recommend trying treatment for 3 months to see if it helps. If it does not, they may suggest changing your dose, or changing the type of HRT you're taking.
There is no specific age cut-off for starting HRT.
Traditional natural hormone replacement therapies
Some plants and supplements that people may take to treat hormonal symptoms include: phytoestrogens, which are dietary estrogens found in legumes, seeds, and whole grains. folate (vitamin B-9 or folic acid)
It usually takes a few weeks before you feel the benefits of HRT. It can take up to 3 months to feel the full effects. If you have not felt the benefit of HRT after 4 to 6 months, it may help to try a different type. It can take your body time to get used to HRT.