Endometriosis can cause fatigue, which is more severe than regular tiredness that goes away with rest. 

About 54 to 74 percent of women having mild to severely moderate pain from Endometriosis also experience fatigue and related issues. 

Most people assume Endometriosis fatigue is equivalent to tiredness that goes away with rest. 

However, it is much more concerning as it does not go away on its own and causes extreme exhaustion. 

This article attempts to explore the underlying causes responsible for Endometriosis fatigue while also covering its management. 

Causes of Endometriosis fatigue

Endometriosis and fatigue go hand in hand. 

Several factors related to Endometriosis can be a cause of fatigue. 

Inflammation

Endometriosis is an inflammatory disease, characterized by pain and can also cause inflammation. 

This happens when the body is trying to eliminate the diseased tissue. 

The immune system releases inflammatory toxins called Cytokines. 

Such chemicals can cause fatigue among women with Endometriosis. 

Depression

Depressed mood
Woman in depression

Several women with Endometriosis also report Depression as a symptom. 

Depression can take a toll on physical, mental, and emotional well-being, making the simplest tasks difficult. 

It can also cause extreme fatigue, which may not even go away with medicines sometimes. 

Chronic Fatigue Syndrome(CFS)

It is a syndrome that causes extreme exhaustion and pain, affecting the quality of life. 

According to a 2019 study, Endometriosis is common among women with Chronic Fatigue Syndrome. 

More than one-third of the women having CFS also had Endometriosis. 

Since the two conditions can overlap, fatigue can be observed as a sign. 

Other symptoms of CFS may include lowered ability to do activities, problems with sleep, memory, and thinking, and worsening symptoms after physical activity or while sitting or standing upright. 

Heavy menstrual bleeding

One of the common symptoms of Endometriosis is heavy menstrual bleeding. 

Due to this, a significant loss of blood can cause iron deficiency anemia. 

Excessive blood and iron loss makes it natural to feel tired and dizzy all the time. 

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Low blood sugar levels

Reactive Hypoglycemia is a condition in which blood sugar levels drop after a meal. 

This usually occurs within four hours. 

Its symptoms include shakiness, tiredness, and dizziness. 

Findings suggest that Reactive Hypoglycemia is present among women with Endometriosis. 

This explains why you may feel exhausted after meals. 

Hypothyroidism

It is a condition in which the thyroid gland does not produce sufficient hormones. 

It can slow down the body’s metabolism, causing fatigue. 

This condition can occur along with Endometriosis often. 

The direct relationship between them is yet to be explored, but it is proven that women with Endometriosis are more likely to have Hypothyroidism. 

Warning:
Hypothyroidism is linked with a risk of heart failure due to increased bad cholesterol. One must seek timely treatment to manage Hypothyroidism and avoid its complications. 

Chronic pain

Most women with Endometriosis also suffer from chronic abdominal pain. 

It may not cause fatigue directly but can be a crucial indirect contributor. 

Chronic pain can also cause Depression, which can result in fatigue. 

It can also affect sleep quality, even worsening to the extent that it causes Insomnia. 

So, fatigue can be experienced as a physiological consequence of poor sleep. 

Fact:
About 45 percent of women suffering from chronic pelvic pain are also affected by Endometriosis. 

Diet

Focus on a balanced diet with plenty of fruits and vegetables
Focus on a balanced diet with plenty of fruits and vegetables

Diet is vital in determining a healthy life and managing medical conditions and diseases. 

Endometriosis can worsen if a person consumes alcohol, red meat, caffeine, or other foods high in trans fat. 

So, its symptoms can also worsen, which may mean extreme exhaustion as well. 

Moreover, a diet low in fiber can worsen sleep quality, adding to exhaustion. 

Vitamin D is another such nutrient whose deficiency can cause fatigue and Depression. 

Lack of physical activity

Inactivity or a lack of physical activity is a known cause of fatigue. 

Due to the pain caused by Endometriosis, physical activity can further deplete. 

So, together, these factors can make you feel tired. 

Menopause

Mostly, Menopause can benefit women with Endometriosis as the symptoms start disappearing. 

This relief is a result of low Estrogen levels during Menopause. 

However, some women can still experience pain and discomfort. 

About 2-5 percent of women have postmenopausal Endometriosis. 

If these women experience symptoms, fatigue can also be one of the difficulties, as it is common in menopausal transition irrespective of a woman having Endometriosis. 

Symptoms of Endometriosis fatigue

Eye Pain and Blurry Vision
Blurry vision

Endometriosis has several symptoms, which include fatigue. 

However, if it causes fatigue, certain additional symptoms due to the exhaustion alone can be noticed. 

Some of them are:

  • Chronic tiredness or lack of energy
  • Headache
  • Blurry vision
  • Dizziness
  • Sleepiness
  • Short-term memory problems
  • Poor concentration
  • Sore muscles
  • Muscle weakness
  • Moodiness
  • Impaired hand-to-eye coordination
  • Appetite loss
  • Reduced immune system function
  • Slowed reflexes and responses
  • Impaired decision-making and judgment
  • Hallucinations
  • Low motivation

Managing Endometriosis fatigue

Some small steps can help you manage Endometriosis fatigue. 

Quality sleep

Poor sleep and Insomnia are known to worsen fatigue. 

So, quality sleep can be an effective tool for management. 

This can be achieved by relaxing, meditation, music, and mindfulness. 

Exercise

It has been proved that exercise can lower fatigue. 

A review by Timothy W Puetz concluded that physical activity reduced fatigue and low energy. 

However, Endometriosis can make it difficult to follow high-intensity exercise. 

So, you must try moderate activity like a walk or yoga. 

Healthy diet

Including fiber-rich foods and a plant-based diet, can be suitable for Endometriosis. 

It includes fruits, vegetables, whole grains, healthy fats, and lean proteins. 

So, adding beans, berries, and leafy green vegetables to the Endometriosis diet will effectively manage the symptoms. 

You must avoid foods like red meat, gluten, dairy, and alcohol to prevent the severity of symptoms. 

Conclusion

Endometriosis fatigue is a common issue among women. 

It occurs due to factors like inflammation, pain, Depression, Menopause, and lack of physical activity.

Even medical conditions like Hypothyroidism and Hypoglycemia can be responsible for Endometriosis fatigue. 

Endometriosis and Chronic Fatigue Syndrome also occur together, which can worsen the possibility of exhaustion. 

Alongside fatigue, other symptoms like headache, dizziness, moodiness, and loss of appetite can be noticed. 

Physical activity, a planned diet, and better sleep can manage Endometriosis fatigue and its symptoms effectively while improving the quality of life. 

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