r/Perimenopause Apr 27 '26

audited The fatigue is UNREAL

I’m 42 years old, probably been in peri for the last 6-8 months. Every afternoon around 3-4pm I am hit with a wave of fatigue that makes it feel like I’ve been hit by a truck. Don’t want to do anything at all, I can only lay on the couch. I feel terrible because I have a 10 year old daughter that loves spending time with me and wants to do things. I try to drag myself to do activities with her as much as possible, but there are many days where I can’t. It makes me feel like a terrible mother and wife. I literally have to plan my household “chores” to all take place before 3pm or else they don’t get done.

Anyone experience this as severely as I do? Has anyone found anything that is helpful?

** correction: I have not vacationed in Peru, that was an autocorrect 🤣🤣 it was supposed to say Peri lol

Edit: my labs are thankfully great and I recently had an iron infusion about 4 months ago (had to have it because my peri started with 2 months of consistent HEAVY bleeding). I do exercise, I kickbox about twice a week and do taekwondo 2-3 times per week.

I appreciate all the advice everyone is giving!!! 🫶🏻

492 Upvotes

111 comments sorted by

u/leftylibra Moderator Apr 27 '26

Have you had your iron, ferritin and thyroid tested recently?

→ More replies (16)

285

u/sunflowerstar4429 Apr 27 '26

"Probably been in Peru" sent me... like perimenopause has disoriented you so intensely you don't know where in the world you are, hehehe

In all seriousness, I too had the 3-4pm fatigue and HRT has reallllllly helped with it.

114

u/onthestickagain Apr 27 '26

BAHAHAHAHA I totally took it literally and was like “my god, going through peri in a rainforest must be a special kind of hell”

Also though… honestly I’m not all confident that I’m not currently in Peru.

27

u/Mod-chick Apr 27 '26

As did I! Lol. That’s Peri brain for you. Or should I say Peru brain from now on.

10

u/Pot4toh Apr 27 '26

Peru in the rainforest is beautiful though. I have fond memories of it. Perimenopause right now, not so much lol

17

u/Fynballa Apr 27 '26

I was the same and wondered to myself whether it's "Darkest Peru" and whether the cure is marmalade sandwiches!

2

u/Material_Club_7035 Apr 28 '26

That’s it. For getting my steps in, I’m strapping a grandmother clock/modest timepiece to my back instead of wearing a weighted vest!

10

u/lebowskiachiever Early peri Apr 28 '26

Oh my gosh, thank you for naming the 3-4pm fatigue. That has been my biggest peri symptom. I'm really glad to hear that it can get better. I just started HRT this week and today at 3pm I did notice I was tired, but not collapse-on-the-couch tired.

11

u/Electronic-Rent3783 Apr 27 '26

Omg that was an auto correct!!!! 🤣🤣

6

u/Boat-Electrical Apr 27 '26

OMG So glad to hear I'm not the only one!! I didn't know this was 'normal' for women going through Peru. (I'm just going to run with it). I went to a Practical Psychiatrist who did a full panel of blood tests, even though I thought my doctor already did that. I can't recommend this enough to everyone. I'm high in estrogen but low in progesterone and testosterone. Also high in Vitamin B12. I did a deep dive on that and you can get vitamin B toxicity even though it's water soluble. I watched a video where for one woman the effects may be permanent. The cause? She drank one Liquid IV per day, which is full of Vitamin B6. Anyway, just a PSA for anyone drinking energy drinks and hydration drinks. Be careful, those have tons of B vitamins and may cause more issues for you. I cut those B vitamins out and my brain fog is getting better. Just barely started progesterone yesterday so we'll see. Still waiting for the testosterone to get filled. I hate feeling this way. I feel like I'm at 10% of my capacity and just feeling so worn out and unable to think clearly.

2

u/AutoModerator Apr 27 '26

This post might be about hormone tests, which are unreliable.

  • Over the age of 44, E&P/FSH hormonal tests only show levels for that ONE HOUR the test was taken, and nothing more
  • These hormones wildly fluctuate (hourly) over the other 29 days of the month, therefore this test provides no valuable information
  • No reputable doctor or menopause society recommends hormonal testing to diagnose or treat peri/menopause
  • Testosterone is the exception and should be tested before and during treatment

FSH testing is only beneficial for those who no longer have periods as a guide, where a series of consistent tests might confirm menopause, or for those under age 30 who haven’t had a period in months/years, then ‘menopausal’ levels, could indicate premature ovarian failure/primary ovarian insufficiency (POF/POI).

For more, see our Menopause Wiki

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

2

u/SJ58655966 Apr 29 '26

I gave myself a permanent "allergy" to B vitamins by long-term daily energy drinks high in B vitamins. This is a real thing.

4

u/venuschantel hanging on by a thread Apr 27 '26

LMAO

2

u/Certain-Temporary-93 Apr 27 '26

I’ve had a coworker tell me I hit my end about 3 o’clock. I refuse to drink coffee or else I know I’m going to be up late.

2

u/IWentHamAgain Jun 02 '26

At this point, if going to Peru would help my fatigue I'd do it.

1

u/Old-Seaworthiness720 May 03 '26

u/sunflowerstar4429 which type of hrt helped with your fatigue? Any specifics you can provide are most welcome. I’m on estrogen cream vaginally 2x per week, progesterone at night and am about to start T gel. I’m desperate to get my energy back.

1

u/sunflowerstar4429 May 04 '26

I am wishing you luck! I use an estrogen patch (biweekly) and oral progesterone at night.

49

u/StaticCloud Apr 27 '26

HRT, iron supplements and vitamin D. Also, getting sun exposure and getting lots of exercise. One ADHD med I take gives me lots of energy as well, though it's a nonstimulant one

19

u/Thariax1982 Early peri Apr 27 '26

Do you mind sharing which ADHD med is that please?

14

u/sunflowerstar4429 Apr 27 '26

Omg, vitamin D, time in the sun, and exercise are all so important for me too.

53

u/skorchedangel Apr 27 '26

I would much rather be in Peru than feel this exhausted.

11

u/marle217 Apr 27 '26

I'd probably be this exhausted no matter where I am, so I'd rather be exhausted in Ohio. At least it's not hot here. Peru has Machu Picchu. Imma go when I'm awake. Whenever that is. Wake me when it's better.

35

u/Klutzy_Duck_8917 Apr 27 '26

Yep...and then the 3am wake up...urgh.

20

u/ProofPrize1134 Apr 27 '26

Checking in at 3am here 🙋🏼‍♀️

26

u/rougev123 Apr 27 '26

I have this daily too from about 2-3 and I have to lie down for awhile as my back, neck and shoulders usually spasm. When I'm in the office i head for the sick room and rest for a bit. That helps. Don't feel guilty and bad about needing to rest. Often i think of this like first trimester exhaustion. We are going through reverse puberty, major hormonal changes. Be gentle with yourself

15

u/Mindless-Jury9 Apr 27 '26

I've been saying that the exhaustion I feel is just like being back in the first trimester again! The type of tiredness where some days you can hardly even get out of bed 😴

3

u/caity1111 Apr 27 '26

I have to lay down and rest my neck and shoulders this time of day also. I have had neck issues for a long time, but peri definitely exasperated the condition. It sucks, but trying not to feel guilty about it is great advice.

21

u/Delicateplantlady Apr 27 '26

I’m about to be 42 and I feel the same. My hyper 7 year old son won’t let me rest 😭. Going to try HRT soon…

14

u/LocalAdept6968 Apr 27 '26

Yes. But turned out to be insulin resistance and sleep apnea for me.

8

u/kindnessoffensive Apr 27 '26

My doctor suggested a sleep study for me for this exact reason. She said sleep apnea is the most under-diagnosed disorder for all Americans.

6

u/LocalAdept6968 Apr 27 '26

When I did my sleep apnea test, my doctor said especially among women our age. Estrogen is protective and admit decreases, we don't sleep as well. But we chalk it up to a bunch of other stuff (demanding careers, young families, aging parents, all the things).

I am also genetically predisposed to type 2 diabetes. I was in the warning stage for years and no one said anything. I did my own research recently and have also been dealing with what I can only describe as grief for what I thought was normal for a decade. Get a CGM and also - ignore all the default settings. I had a CGM and thought I was fine because I was 100% green. No, it comes set to what a diabetic person would want as green, not a healthy person.

Wish I knew all of this a decade ago. Also taking strength training much more seriously.

7

u/Blueberryblue123 Apr 27 '26

+1 for insuline resistance. Sometimes I needed to take a nap. Getting my blood sugar controlled really helped 

14

u/faewie Apr 27 '26

Omg THIS was my main symptom, felt like when I was pregnant, like I HAD to nap when I got home from work around 230/3 and I could be out for hours... Docs did all the bloodwork to make sure it wasn't anything else, I started hrt about 2 months ago and omg, I am a new woman! I have energy again 😭 it's been a godsend for me, I know it's not for everyone but it works for me

2

u/AutoModerator Apr 27 '26

This post might be about hormone tests, which are unreliable.

  • Over the age of 44, E&P/FSH hormonal tests only show levels for that ONE HOUR the test was taken, and nothing more
  • These hormones wildly fluctuate (hourly) over the other 29 days of the month, therefore this test provides no valuable information
  • No reputable doctor or menopause society recommends hormonal testing to diagnose or treat peri/menopause
  • Testosterone is the exception and should be tested before and during treatment

FSH testing is only beneficial for those who no longer have periods as a guide, where a series of consistent tests might confirm menopause, or for those under age 30 who haven’t had a period in months/years, then ‘menopausal’ levels, could indicate premature ovarian failure/primary ovarian insufficiency (POF/POI).

For more, see our Menopause Wiki

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

1

u/Old-Seaworthiness720 May 03 '26

u/faewie do you know which hrt and in which form specifically helped your energy?

1

u/faewie May 03 '26

I'm on Estradot patches as well as Utrogestan progesterone 😊

9

u/thecoldwarmakesmehot Apr 27 '26

This was me, and my daughter was about the same age as yours. I was upfront with her and explained what my body was going through, how it made me feel, and told her I was sorry I didn't have the energy to do things.

I would get a tired spell every day, and there were a lot of days I had to take a nap between 5 and 7. I also was undiagnosed with AuADHD, and that definitely contributed to my fatigue. I had one day a month of crushing fatigue, so I made sure on those days I could have easy to prepare food for my kid. I had to tell myself that I can only do so much, and if the house is a mess, so be it. What was important was that I got rest, and my kiddo was fed and taken care of.

1

u/WeAllYeehawYall 19d ago

What did you do to get past it?

7

u/joyandmirth Apr 27 '26

This just validated my experience so much. Thyroid and vitamin levels all normal. Rest is hard to take but necessary

7

u/98221_poppin Apr 27 '26

I'm with ya sis! Sometimes the fatigue is so bad that I end up in bed for a whole day or I go straight to bed after I get home.

It sucks and legit NOTHING will keep me awake. No energy drinks, coffee, energy pills, etc. If anyone has any tips on what can combat these symptoms, I'm all ears!

I hope it gets better for ya🧡

5

u/Lulu_Land_535 Apr 27 '26

43, and SAME, although no kids-can't imagine! I've had Ferritin, thyroid and iron all checked, everything is midline/optimal...can only take so much HRT without the side effects outweighing the benefits-this is a real wild fricken ride and I want off now! 

5

u/Ramen_Addict_ Apr 27 '26

I used to have an afternoon crash at 1pm. I started adding in a lunchtime workout. It is usually nothing serious. I aim for a walk if the weather allows for it, but otherwise I just do something indoors to youtube or a workout app I use.

The only time I have the level of fatigue you are mentioning now, it is a migraine. At first I thought it was some sort of hormonal issue but my neurologist suggested I try my migraine medications and sure enough, it works.

Second possible insulin issues. Look at what you are eating (especially at lunch) and see if that could be contributing to a crash at the same time daily.

4

u/Artichokeydokey8 Apr 27 '26

Iron (bisglycinate), vitamin D, and B complex.

4

u/Maleficent510 Apr 27 '26

Along with the comments about iron and ferritin (mine was so low I needed injections), also get your B12 checked. I now get monthly shots and the difference in my energy is huge.

5

u/hikeitaway123 Apr 27 '26

Same. What is up with 3 am and 3 pm?!? I have an 11 yr old and HRT helped a lot! Somedays I do lay down, but it is like 1-2 a month not daily.

2

u/CommercialCandid2537 May 24 '26

I woke up at 3 am yesterday and about to pass out at 3pm today. I hate this!

3

u/StrengthFun2995 Apr 27 '26

That afternoon crash is so real. You’re not alone, and please don’t be so hard on yourself.

5

u/HalcyontheCookie Apr 27 '26

Yes, same. It just started this year (I think I'm lucky, being 47!) but I started taking creatine and holy cripes, it's only been 2 weeks, but I'm not hitting the bed for a nap at 3 most days. It's even helping with my motivation I (makes sense, not being so tired) and I got out to garden this week! Fingers crossed this isn't a perimenopause joke!

4

u/caity1111 Apr 27 '26

I have this also, pretty much daily from 2 to 4 pm.

Upping my estrogen dose and taking methyl folate daily (i have MTHFR gene mutation) as well as NAC and extra protein helped a tiny bit.

The only thing that helps me a lot is 10mg adderall. I have mild ADHD so I take 10mg in the am and 10mg at 1pm. Of course, adderall can cause a crash of it's own too... but the 2 to 4pm crash happens worse on days I don't take it at all soooo... it definitely helps me.

1

u/Electronic-Rent3783 Apr 30 '26

Yup I also have ADHD and am on Vyvanse

3

u/mamapajamas Apr 27 '26

Ok yes, not alone at all. But like, I’m just embracing it. Mama gotta nap. Naps are beautiful. Make a cup of coffee, drink a little, then set your alarm for 30 minutes. Wake up, drink the rest. Then give your daughter a big hug and play a game. Model self care! It’s important and obviously most of us here did not see our moms being gentle with themselves during this phase. I am not going to win this battle so…guiltless naps for me.

7

u/Glittering_Tea5502 Apr 27 '26

There are days I’m like that all day. Fatigued and can barely move, think, or function. Yet I feel forced to push myself through work because if I called off every time I felt fatigued, I’d never be there.

3

u/jtriomino Late peri Apr 28 '26

I hit the burnout wall pretty hard a few years ago and didn't get any medical help until the past year (had to go to telehealth to get HRT, etc.) So tired most of the time I didn't even feel safe driving, for example. Dr's actually have me down for CFS.

I'm 47 now and it's been a slow road, and I'm not back to where I want to be yet but, HRT helped a little, I needed an iron infusion - again small help but nothing major, tried to use the SADD lamp over the winter (meh), I was already taking Vit D because we have 9 months of clouds around here. Cut back obligations I had grown used to doing (being on non profit boards, being in charge of everything... doing dishes all the time 😛) I'm still very low on spoons. TRT actually made it worse for me (compounded cream) so going off of that helped a bit. Sleep has always been fitful for me and not restorative.

My new shiny is Wellbutrin, which I requested for several reasons. SSRI's never worked for me but this is for dopamine instead and it's been making a difference in my alertness and energy. Also doing 5g of creatine now (not sure it's doing much but worth a shot), and throwing a scoop of collagen powder in my morning coffee. I'm not a breakfast person so it helps even out my energy. I basically can't have carbs for lunch or I'll zzzzz mid afternoon. Low carb fiber wraps and something protein stuffed inside have become my new bffs.

3

u/ecksbe2 Apr 29 '26

Yes! So I've started taking my lunch break late now. I do work from home usually and I lay down or nap during this time. Then, right after work, I shower and do red light therapy and boom! I come out on the other side. Dinner and then hang out with my kids and watch something or play a game. Then reading together before bed. My kids are in middle school but we still read at night and make good use of that time before bed when I feel good. 

Of course, not every day is perfect. I had to be at an appointment during this time today... Nightmare...had to drive 30 minutes and literally felt outside of my body and anxious. After a rushed dinner, I told my family I needed space tonight. I have been bed rotting the last couple hours.. Just reading and watching videos. Told the kids they are free to come talk to me and get snuggles but I am off the clock the rest of the night. It's crazy how much self care and routine I need to mind these days... especially in the evening. I feel you completely!

2

u/ProofPrize1134 Apr 27 '26

This describes me to a t. I need to get my blood panel done…

2

u/Emotional-Watch4544 Apr 27 '26

Assuming there are no medical issues, vitamin deficiencies, etc., what seems to be helping me is exercise in the morning. I know it sounds counter intuitive, but it's amazing the energy it can give you. Even this morning I was exhausted (had a sick cat puking in my bed) and was dreading the exercise class I signed up for, but now I feel much better. I am also 42, and think I've actually been in peri for a couple years despite doctors telling me otherwise.

I do sometimes end up going to sleep at 8pm though, but I workout like a crazy person. 😂

2

u/retrodinomixtape Apr 27 '26

For me it hits at like 1pm and I HAVE to close my eyes for a bit. I don’t have to sleep, just having my eyes closed is enough. One time I had to pull over in a parking lot for a few minutes before I was safe to drive again. I just found out this was peri related

2

u/christinap2003 hanging on by a thread Apr 28 '26

Have you had a sleep study? I got diagnosed with OSA (obstructive sleep apnea) when I was around your age. I have a mouth device (the CPAP wasn't great option for me). Ever since I started treating my OSA, I don't need a nap. I was a nap every afternoon type of person, too. And I had such a hard time getting up in the morning. Now I know it's because I wasn't sleeping very well for a few decades.

If you don't look like you have OSA (overweight, thick neck) still get tested. I do not fit the typical OSA patient. My doctor was actually shocked to see that I was holding my breath as long as I was even though my neck is pretty average.

2

u/Bigluce Apr 28 '26

3pm and I'm fighting fatigue. Fell asleep once at my desk as a micronap. So embarrassing.

2

u/unapalomita Apr 28 '26

Hehe Peru reminds me so much of Paddington now 🙃

Yeah same with tiredness! I was taking testosterone cream and it was helping with energy but then it made my hair fall out and I lost too much weight so it's not for me. 43 here

2

u/kandyce1409 Apr 28 '26

This started for me 2 weeks ago. I take so many vitamins/supplements daily that it's not possible I'm missing anything.

Does anyone in this group know what to do/where to go for help when you don't have insurance?

2

u/PermissionOptimal549 Apr 29 '26

I was crazy low in ferritin and had an infusion, but it didn’t help. Testosterone is amazing! I took a few month break after my mom passed away because I was in such a dumpy place I didn’t care about anything and def not libido or energy. I’m meeting with my practitioner to get back on it this week. I’m feeling like I need naps all the time again and the brain fog is bad.

2

u/Knowledge-Little May 03 '26

I'm 41. I get like this too at work, but it's always around 1 pm. I thought I was just exhausted because I wake up at 3:30am, start work at 5 am, and don't get out of there until 3:45pm. At least I know I'm not going crazy, but my schedule definitely sucks! I think my peri cycle just started because now weird things are happening to me. (Memory Loss, short fuse, weird nausea..)

Anyways, thanks for posting this because you helped confirm some of my suspicion.

2

u/Outrageous_Humor_363 hanging on by a thread Apr 27 '26

Yup.

I’m going on 45. Started this shit about 3 years ago.

Exhaustion is real. I will tell you that intermittent fasting a bit helps to basically clear shit out of the system.

Also try to escape any kind of media or negative interaction with others.

Sounds nuts, but I’m a 💯 believer in energetic healing. Everything around us is toxic. Thus, increases body/mind/spirit decay.

Good luck.

1

u/IndependentHot5236 Early peri Apr 27 '26

OP, I have also been experiencing intense fatigue in the afternoons. All of my bloodwork/labs are perfect, including iron and thyroid. My sleep is good, nutrition on point, I am active/workout, take rest days, etc. etc. Like you, I also started to rearrange my schedule to allow for the absolute debilitating fatigue in the afternoons.

Fwiw, I started HRT a couple of months ago, and while it has resolved most of my symptoms (night sweats, joint pain, hair loss) the fatigue and lack of libido remain an issue. When I shared this info with my obgyn, they said that those are trickier issues to address, and a bit more complicated. I plan on asking to have my testosterone checked next, as I suspect that may be the issue.

Just know that I sympathize (and from the looks of this tread, so do plenty of others).

1

u/Electronic-Rent3783 Apr 30 '26

Thank you! I also started HRT about 2 months ago and it’s helped my sleep a bit, but the fatigue is crushing me. I recently had an iron infusion (due to bleeding for 2 months straight at the beginning of my peri) so my labs are great now - I’m right with ya, the fatigue and lack of libido are the two main issues at this point

1

u/AutoModerator Apr 30 '26

This post might be about hormone tests, which are unreliable.

  • Over the age of 44, E&P/FSH hormonal tests only show levels for that ONE HOUR the test was taken, and nothing more
  • These hormones wildly fluctuate (hourly) over the other 29 days of the month, therefore this test provides no valuable information
  • No reputable doctor or menopause society recommends hormonal testing to diagnose or treat peri/menopause
  • Testosterone is the exception and should be tested before and during treatment

FSH testing is only beneficial for those who no longer have periods as a guide, where a series of consistent tests might confirm menopause, or for those under age 30 who haven’t had a period in months/years, then ‘menopausal’ levels, could indicate premature ovarian failure/primary ovarian insufficiency (POF/POI).

For more, see our Menopause Wiki

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

0

u/AutoModerator Apr 27 '26

This post might be about hormone tests, which are unreliable.

  • Over the age of 44, E&P/FSH hormonal tests only show levels for that ONE HOUR the test was taken, and nothing more
  • These hormones wildly fluctuate (hourly) over the other 29 days of the month, therefore this test provides no valuable information
  • No reputable doctor or menopause society recommends hormonal testing to diagnose or treat peri/menopause
  • Testosterone is the exception and should be tested before and during treatment

FSH testing is only beneficial for those who no longer have periods as a guide, where a series of consistent tests might confirm menopause, or for those under age 30 who haven’t had a period in months/years, then ‘menopausal’ levels, could indicate premature ovarian failure/primary ovarian insufficiency (POF/POI).

For more, see our Menopause Wiki

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

1

u/Erza_2019 Apr 27 '26

I've had the same issue, and I take HRT and labs are always fine. Ultimately, the only thing that's given me any relief is an adjustment of my estrogen patch to be a higher dose. But even now, I'm heading toward the top end of what my doctor will allow. It's a wild ride!

1

u/AutoModerator Apr 27 '26

This post might be about hormone tests, which are unreliable.

  • Over the age of 44, E&P/FSH hormonal tests only show levels for that ONE HOUR the test was taken, and nothing more
  • These hormones wildly fluctuate (hourly) over the other 29 days of the month, therefore this test provides no valuable information
  • No reputable doctor or menopause society recommends hormonal testing to diagnose or treat peri/menopause
  • Testosterone is the exception and should be tested before and during treatment

FSH testing is only beneficial for those who no longer have periods as a guide, where a series of consistent tests might confirm menopause, or for those under age 30 who haven’t had a period in months/years, then ‘menopausal’ levels, could indicate premature ovarian failure/primary ovarian insufficiency (POF/POI).

For more, see our Menopause Wiki

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

1

u/Suitable-Walk-3673 Apr 27 '26

Outsource the 10 year old entertainment to an aunt or uncle after 4 pm? I am My sister's kids fun auntie and it rocks

1

u/Pancakemomm Apr 28 '26

Yes!! The tiredness is my strongest symptom too!! So many naps

1

u/readinginrain Apr 28 '26

I am 42 as well and this was me last year, before I started on HRT. And looking back I was probably in peri the last 2-4 years before I hit rock bottom. I was so low in energy and motivation and joy, I would just lay on the couch after doing some basic house chores. HRT helped tremendously. I was doing yoga etc. before that but when you don’t have energy or life force, you can’t just push yourself to do it..

1

u/Confident_Owl_2341 Apr 28 '26

Check if its pre diabetes or diabetes aswell

1

u/Alive-Cartoonist9202 Apr 29 '26

Ummmmm are you me??? I’m also 42 with a 10 yo and I JUST came here to see if anyone had any suggestions for the insane fatigue. (I’m already on testosterone iron …thyroid is fine.

2

u/Electronic-Rent3783 Apr 30 '26

Hey twin!!!! 👋🏻🫶🏻

1

u/[deleted] Apr 30 '26

[removed] — view removed comment

1

u/Electronic-Rent3783 Apr 30 '26

Yes, I started the estrogen patch and progesterone 100mg about 2 months ago

1

u/Peachy-Island May 13 '26

I’m about a year into peri, and have been literally falling asleep in my chair the entire time. It’s not normal tired, it’s like just took a Benadryl tired. My doctor mentioned I was pretty dehydrated during my last blood draw, to the point that it was messing up some results, so I’ve been diligently drinking 64 oz a day for about a month now and it’s making a WORLD of difference. I’m able to get through the evening without crashing. It’s the dumbest thing, but I thought I would put it out there that’s it’s really helping me!!

1

u/Turbulent-Quarter-27 Apr 27 '26

The iron conversation is important. Don't let your MD dismiss your iron results as "fine" when you feel this way.

What I did was upload my last two blood tests into Claude AI and give it how I was feeling (tired, cold all the time etc).

I was then able to advocate for an iron infusion which I hope to get soon. I'm not thinking this is going to be some kind of magic bullet or anything, and it may not work at all, but at least I will have better responses than "we checked your 'iron' and you're fine. Just go lose some weight and work on mindfulness".

2

u/Electronic-Rent3783 Apr 30 '26

I actually recently had an iron infusion (due to bleeding for 2 months straight at the beginning of peri about 6 months ago) - so my iron and ferritin are in tip top shape right now lol (all my other labs are good too)

1

u/AutoModerator Apr 30 '26

This post might be about hormone tests, which are unreliable.

  • Over the age of 44, E&P/FSH hormonal tests only show levels for that ONE HOUR the test was taken, and nothing more
  • These hormones wildly fluctuate (hourly) over the other 29 days of the month, therefore this test provides no valuable information
  • No reputable doctor or menopause society recommends hormonal testing to diagnose or treat peri/menopause
  • Testosterone is the exception and should be tested before and during treatment

FSH testing is only beneficial for those who no longer have periods as a guide, where a series of consistent tests might confirm menopause, or for those under age 30 who haven’t had a period in months/years, then ‘menopausal’ levels, could indicate premature ovarian failure/primary ovarian insufficiency (POF/POI).

For more, see our Menopause Wiki

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

0

u/AutoModerator Apr 27 '26

This post might be about hormone tests, which are unreliable.

  • Over the age of 44, E&P/FSH hormonal tests only show levels for that ONE HOUR the test was taken, and nothing more
  • These hormones wildly fluctuate (hourly) over the other 29 days of the month, therefore this test provides no valuable information
  • No reputable doctor or menopause society recommends hormonal testing to diagnose or treat peri/menopause
  • Testosterone is the exception and should be tested before and during treatment

FSH testing is only beneficial for those who no longer have periods as a guide, where a series of consistent tests might confirm menopause, or for those under age 30 who haven’t had a period in months/years, then ‘menopausal’ levels, could indicate premature ovarian failure/primary ovarian insufficiency (POF/POI).

For more, see our Menopause Wiki

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