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 catabolic processes in various systems of the body, so an increase in estrogen levels can cause endocrine dysfunction in some bodily systems. Fatigue reappears during menopause because women experience calcium depletion, leading to calcium deficiency in the body, which causes weakness and lack of strength. It is generally recommended to supplement with calcium early during menopause.

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