How long does perimenopausal #fatigue last? And how do you know if fatigue is caused by #perimenopause or something else? I'm so tired of feeling tired!

@WanderingHuman If you have access to primary care, it wouldn't hurt to get your thyroid checked, just to rule that out. It can be a bit of a copycat.

Being in an extended period of crisis will trash the nervous system, so that comes into play as well. Humans aren't built for dystopia.

So it could be a few things, and maybe a couple in combination, but if you have a good doc or NP it's worth having a conversation about perimenopause if you haven't done that already.

Estrogen dropping takes dopamine along for the ride, which only makes things worse.

For a lot of us, the symptoms of peri and menopause are being amplified by the state of the world. Especially those of us with neurodivergent brains. Peri/menopause isn't a hormone event, it's a brain event. That little fact still isn't really discussed all that much.

Apologies if you know all this already. I'm doing an info dump from what I've learned/experienced. I didn't get hit with big symptoms until I was well into menopause. HRT helped me a lot, but now I'm in burnout, so πŸ€·πŸ»β€β™€οΈ

I hope you can get some answers tailored for you and that you feel better soon.

@StaceyCornelius I appreciate the info! I've, uh, been kind of procrastinating on the blood tests. πŸ™ˆ That's totally on me.

But the rest of what you said also makes sense. I've definitely been under stress for years and it's not going anywhere. Young kids and elderly parents. 😣 Plus career burnout. But I am doing something about that, at least.

So what can I do to help the fatigue, other than sleep? (And I am on HRT, too)

@WanderingHuman I second @StaceyCornelius comment.

Just wanted to mention also sleep apnea option, just in case. Because I have discovered that too many of us in perimenopause/menopause can suffer from it, just learned about it a few weeks ago… And as usual, symptoms are dismissed and/or confused with perimenopause ones.

Don’t forget as already mentioned that for us ND, perimenopause hits us so much harder... I feel you so much.

To help with fatigue can you have unwinding moments during the day despite everything you have to manage?

@adelinej @StaceyCornelius Ugh. I do have mild to moderate sleep apnea, but I can't sleep with a cpap machine, I've tried. And insurance won't cover a sleep apnea mouth appliance. 😞

Unwinding - I do try, but I also have things I need to get done. Given extra sleep, work and family demands, that just leaves the time after the kids are in bed. Then I have trouble getting to sleep at a reasonable time, because quiet time is so limited. 😭

@WanderingHuman Oh no for everything… 😭😞

Positioning doesn’t help for sleep?

@StaceyCornelius

@WanderingHuman One thing that helps me is the SnoreGym app (https://snoregym.com/). It's free, with paid add-ons. I couldn't even cope with the home sleep apnea testing gear, so I did some recordings with the SnoreLab app and started using SnoreGym.

Backstory: A dental clinic was running an upsell scheme with a local sleep clinic. The hygienist unwittingly told me that throat muscles can lose tone as we age, which of course sent my ND brain on a quest. Because muscles that can get weak can also be strengthened (duh).

The routine I do takes just 10 minutes and could be considered quiet, winding down time. So that might be an easy thing to try.

@adelinej

SnoreGym – The exercise app for quiet sleep

The exercise app for quieter sleep. SnoreGym is here to guide you through a series of exercises to help reduce snoring.

@StaceyCornelius @WanderingHuman I am curious. Do you have in your both provinces a provincial program that helps *financially with CPAP machines? I have it for my compression garments following my lymphedema due to cancer surgery.

I am going to apply again for the CPAP as soon as I am going to get the hospital sleep test in x months. I have done the home sleep test and I can’t apply with it.

But at least next year I will be able to add the cost for the federal taxes.

@adelinej For me, don't know, don't care. There's no way I could tolerate anything on my face. I'd never sleep again. I'm doing okay with the exercises, so I'm sticking with that for the foreseeable future. If something changes I might have to fight with the system. I hope not.

@WanderingHuman

@StaceyCornelius I get that. A few years ago a doctor mentioned to me a possible sleep apnea, and for me it was no way for the test and the machine…

But, after a few years with my exhaustion due to my 2 breast cancers, perimenopause with 0 treatment, ADHD, etc. I have finally decided to try after an appointment with my cardiologist where she mentioned it also.

I am using a very minimalist nasal mask since 1 week, I HATE everything so much with my hypersensitivities + too others many things, but I have reached a point that I can’t avoid it anymore.

Not sure if I will stick with it but at least I try.

@WanderingHuman