

Why Middle-Aged Women Are More Likely to Experience Fatigue
Middle-aged women are up to four times more likely to experience fatigue, and new research suggests that heavy or prolonged menstrual bleeding during menopause transition could be a key reason. This study emphasizes the need for better awareness of fatigue in women undergoing menopause.
Menopause and Its Common Symptoms
Menopause is often associated with well-known symptoms such as hot flashes, sleep disturbances, pain, and mood swings. However, heavy or prolonged menstrual bleeding can also contribute to increased tiredness, yet it is often overlooked.
The Role of Abnormal Uterine Bleeding (AUB)
As women transition through menopause, many experience changes in the frequency and duration of their menstrual cycles. Some report episodes of Prolonged menstrual bleeding (PMB) or heavy menstrual bleeding (HMB), which are classified as abnormal uterine bleeding (AUB).
A recent study conducted by researchers at the University of Michigan found that one in three women going through menopause experienced AUB. Despite its prevalence, this issue has not been widely studied, and its connection to fatigue remains largely unexplored.
Link Between Heavy Bleeding and Fatigue
Heavy menstrual bleeding is closely linked to iron deficiency anemia, a well-known cause of fatigue. The researchers analyzed daily menstrual records from over 2,300 middle-aged women and found that those who experienced HMB or PMB within six months were more likely to report fatigue-related symptoms, such as:
- Feeling worn out
- Persistent tiredness
- Lack of energy
- Reduced physical motivation
Even after considering other potential causes, the study confirmed a strong association between abnormal bleeding and fatigue.
Importance of Medical Awareness and Early Treatment
Since iron deficiency and anemia can be treated easily, it is essential for women to seek medical attention when they experience prolonged or heavy menstrual bleeding. Early assessment and intervention can significantly improve energy levels and overall well-being.
Dr. Stephanie Faubion, medical director of The Menopause Society, emphasized the importance of raising awareness about AUB. She highlighted that women should be educated on potential menstrual changes during menopause and the impact these can have on their energy levels.
Conclusion
This study sheds light on the significant yet often overlooked impact of heavy menstrual bleeding on fatigue in middle-aged women. Given the high prevalence of AUB during menopause, greater clinical awareness and early intervention are crucial to improving women’s health and quality of life. Seeking medical advice and addressing iron deficiency can help alleviate fatigue, allowing women to navigate menopause with better energy and well-being.
Source: Inputs from various media Sources

Priya Bairagi
Reviewed by Dr Aarti Nehra (MBBS, MMST)
I’m a pharmacist with a strong background in health sciences. I hold a BSc from Delhi University and a pharmacy degree from PDM University. I write articles and daily health news while interviewing doctors to bring you the latest insights. In my free time, you’ll find me at the gym or lost in a sci-fi novel.