Does menopause cause extreme fatigue?

Patient's question:

Mom is 56 years old and is in menopause. However, she has recently been experiencing symptoms of leg weakness and fatigue. She doesn't know if it's caused by menopause. Does menopause cause extreme fatigue?

Doctor's answer:

There are some symptoms of menopause, and fatigue is one of them. Menopause in women is a comprehensive manifestation caused by the decline in ovarian function, leading to an increase in the levels of estrogen and progesterone, which results in endocrine imbalance. Estrogen affects the catabolism of various systems in the body, so when estrogen levels rise, it can cause endocrine dysfunction in some body systems. The recurrence of fatigue during menopause is due to calcium depletion in women, leading to calcium deficiency in the body, which results in weakness and lack of strength. Generally, calcium supplementation should be started early during menopause.

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