Fatigue & Insomnia

Both women and men experience hormonal imbalances that lead to feeling fatigued. Fatigue is a common symptom associated with menopause and andropause. Sleeplessness is one reason to feel tired during the day, but feeling fatigued even after getting a good night’s sleep may be caused by age-related hormonal changes that can be treated using bioidentical hormone replacement therapy (BHRT) at our Rochester, NY-area practice.

Hormonal Imbalance & Fatigue

Many women and men who feel constantly sluggish during the day tend to shrug it off because they’re not getting enough sleep. Men and women who experience unexplained and persistent fatigue, however, should discuss their concerns with a physician to determine if an underlying medical condition could be responsible. Blood tests may reveal that sluggishness is being caused by hormonal imbalances. Hormones, including estrogen, progesterone, cortisol, and testosterone, are chemicals that help control processes such as heart rate and temperature. If these powerful chemicals are out of balance, even by a small amount, they can cause a wide range of symptoms—including feeling tired and having trouble sleeping.

What Causes Fatigue?

Many people say they feel tired all the time without knowing exactly why. Occasional fatigue can usually be chalked up to staying up late or a stressful time at work, but chronic feelings of fatigue and listlessness are often caused by an underlying issue. Effectively treating fatigue requires having a doctor zero in on a specific cause or causes.

The list of potential causes, besides insomnia, includes:

  • Anemia
  • Depression
  • Diabetes
  • Dehydration
  • Excessive caffeine
  • Heart disease
  • Undiagnosed urinary tract infection
  • Hypothyroidism
  • Food allergies
  • Nutritionally inadequate diet
  • Shift work
  • Sleep apnea

Chronic fatigue syndrome or fibromyalgia, whose causes are unknown, may also be responsible for feeling chronically tired.

Meet Our Providers

Owner and medical director Dr. Vito C. Quatela, along with Julie A. Chatt, MSN, FNP-C, provide regenerative medicine care tailored to the needs of their patients so they can live their best lives.

Vito C. Quatela, M.D., FACS Julie A. Chatt, MSN, FNP-C Request Your Appointment
Dr. Quatela and Julie A. Chatt standing next to each other smiling

What Are Treatments for Fatigue?

Correctly diagnosing the cause of fatigue is the first step in creating a treatment plan. If blood tests determine that specific hormones are at least partly responsible for fatigue and insomnia, bioidentical hormone replacement therapy monitored by our hormone specialist at Longevità Medical can be part of a comprehensive treatment approach.

Using these blood tests, we can evaluate a patient’s overall health, including getting a baseline overview of sex hormones and assessing the function of the thyroid and adrenal glands and the patient’s metabolic system. If we identify deficiencies in testosterone or estrogen levels, low-dose hormone replacement therapy may help improve the quality of a patient’s sleep and reduce fatigue.

Men with low testosterone levels often battle insomnia and sleep apnea. This, in turn, can lead to fatigue, brain fog, and other symptoms associated with low T.

Hormone replacement therapy that includes estrogen and progesterone has been shown to help women fall asleep faster, reduce their nighttime awakenings, strengthen their sleep cycles, and boost REM sleep.

When blood tests reveal potential thyroid dysfunction before starting hormone therapy, a comprehensive thyroid panel can determine if a patient has hypothyroidism. An underactive thyroid could be the reason for feeling chronically tired.

Request Your Consultation

If you’ve been having trouble falling or staying asleep or feel tired during much of the day, even after a good night’s rest, hormonal changes may be the reason. Bioidentical hormone replacement therapy at Longevità Medical in Victor, NY, offers a potential solution. You can request a consultation using the online form to meet with a specialist or call us at (585) 244-1506 to schedule an appointment.