Hi
I wasnt on HRT, i did it with lifestyle changes, been on menopause now for 10 years, and felt in the early days, i was going mad, but now i am finally post, and i thank god ! my symptoms still come and go, but are much less severe, so i can cope, and i feel things inside are more balanced.
In the early days, the fatigue was very bad, and where i think you may be going wrong is.. your knocking your body clock out due to your altered sleeping patterns, If you do this, your body thinks, it should be asleep during the day, and awake often during the night, what your actually doing is putting your body clock out of sink, and your body will decondition itself, which means, you will go weaker, and the fatigue will become worse, so, this is what i want you to try.
Firstly get up early, and the same time every day, if your not working, try for 9am, then at least once a week, if you can, go swimming, i want you to swim for at least 30 mins, but done at your own pace, swimming is considered gently exercise, and gentle exercise, gives you energy, it helped me enormously, and i dont normally swim, but if you dont like swimming then try gentle walking, but what i want you to avoid at all costs is, over exertion, as that will make your fatigue worse, what you have to then do is, pace yourself, so, if your doing your cleaning etc, i want you to do 30 mins, then rest for 15, then start again, but dont do your cleaning, then the washing, ironing, and shopping, do that the next day, or, whatever. Then i want you to take 15 mins per day, to just rest, but this means, NO......... tv, reading, or, computer, because then you wil become mentally fatigued which, will make your physical fatigue worse, so, i want you to take this time to do breathing relaxing exercises during that 15 mins, also avoid high refined sugar meals, in favour of high protien, with snacks in between, eating little and often, to keep sugars balanced, avoid high and lows, eases fatigue, put plenty of water in, especially if you wake in the night, if you cannot get off, as during menopause we dehydrate, and fatigue also causes us to dehydrate due to low blood volume, this inturn will make us feel dizzy,, light headed, and off balance, so, drink plenty of water, do not drink any caffine drinks. Then i want you to go to bed the same time every night, i go at 11pm, you will not notice any difference for the first two weeks, but stick with it, because after this time, you body clock will have re adjusted to what it should be doing, and as your sleeping patterns get back to normal it will ease the fatigue greatly, if you slip b ack by having lie ins, or sleeps during the day, go back to this routine to put your clock back, making you feel better but give it time, at least two weeks, good luck, hope it works for you, like it has for me. xx