Why do women experience extreme tiredness during periods. How can period fatigue be managed effectively. What are the underlying causes of menstrual exhaustion. When should you seek medical attention for period-related fatigue.

The Impact of Menstrual Cycles on Energy Levels

Menstruation is a natural biological process that affects women’s bodies in various ways. One of the most common complaints during this time is fatigue. Period-related tiredness can range from mild to severe, often interfering with daily activities and overall quality of life.

While some degree of fatigue during menstruation is normal, extreme tiredness may indicate underlying health issues that require attention. Understanding the causes and potential remedies for period fatigue is crucial for maintaining optimal health and well-being.

What Causes Period Fatigue?

Period fatigue is primarily attributed to hormonal fluctuations during the menstrual cycle. As estrogen levels decrease before and during menstruation, many women experience a dip in energy levels. Additionally, other factors can contribute to increased fatigue during this time:

• Heavy menstrual bleeding (menorrhagia)
• Iron deficiency anemia
• Premenstrual syndrome (PMS)
• Thyroid disorders
• Sleep disturbances due to menstrual symptoms
• Dehydration and electrolyte imbalances

Recognizing Heavy Menstrual Bleeding

Menorrhagia, or heavy menstrual bleeding, affects approximately one in three women who seek treatment for menstrual issues. Identifying whether your period is considered “heavy” is crucial for determining if medical intervention is necessary.

Signs of Heavy Menstrual Bleeding

How can you tell if your menstrual flow is heavier than normal? Look out for these indicators:

• Soaking through at least one sanitary product every hour
• Needing to use both a pad and tampon simultaneously
• Waking up during the night to change sanitary products
• Bleeding that lasts longer than a week
• Passing large blood clots
• Interference with daily activities due to heavy flow

If you experience any of these symptoms, it’s essential to consult with a healthcare provider to rule out underlying conditions and explore treatment options.

The Link Between Heavy Periods and Fatigue

Heavy menstrual bleeding can significantly contribute to fatigue during and after your period. The excessive blood loss can lead to iron deficiency anemia, a condition where the body lacks sufficient healthy red blood cells to transport oxygen effectively.

Symptoms of Iron Deficiency Anemia

How does iron deficiency anemia manifest in the body? Common symptoms include:

• Extreme fatigue and weakness
• Pale skin
• Shortness of breath
• Heart palpitations
• Dizziness
• Cold hands and feet

If you suspect iron deficiency anemia, a simple blood test can confirm the diagnosis. Treatment typically involves iron supplementation and dietary changes to increase iron intake. In cases where heavy periods are the underlying cause, your healthcare provider may recommend additional treatments to manage menstrual flow.

Premenstrual Syndrome and Fatigue

Premenstrual syndrome (PMS) is a collection of physical and emotional symptoms that occur in the days leading up to menstruation. While not all women experience PMS, those who do often report increased fatigue as a significant symptom.

Understanding PMS Fatigue

PMS-related fatigue can be particularly challenging, as it often coincides with other symptoms such as mood swings, irritability, and physical discomfort. This combination can make it difficult to maintain normal energy levels and productivity.

For some women, PMS symptoms are severe enough to interfere significantly with daily life. This more intense form of PMS is known as Premenstrual Dysphoric Disorder (PMDD) and may require specialized medical attention.

Thyroid Disorders and Menstrual Fatigue

The thyroid gland plays a crucial role in regulating metabolism and energy levels. Thyroid disorders can have a significant impact on menstrual health and overall energy levels.

Hypothyroidism and Period Fatigue

An underactive thyroid (hypothyroidism) can exacerbate period-related fatigue. Women with hypothyroidism may experience:

• Extreme tiredness, even after adequate sleep
• Weight gain
• Depressed mood
• Heavier or irregular periods

Approximately 15 in 1000 women in the UK are affected by hypothyroidism. If you suspect a thyroid issue, consult with your healthcare provider for proper diagnosis and treatment.

Hyperthyroidism and Menstrual Changes

Conversely, an overactive thyroid (hyperthyroidism) can also affect menstrual patterns and energy levels. While hyperthyroidism is often associated with increased energy, it can lead to irregular or light periods and eventually result in fatigue due to the body’s increased metabolic rate.

Managing Period Fatigue Effectively

Addressing period-related fatigue involves a multifaceted approach. By implementing lifestyle changes and seeking appropriate medical care, many women can significantly improve their energy levels during menstruation.

Lifestyle Strategies for Combating Menstrual Fatigue

How can you naturally boost your energy during your period? Consider these strategies:

1. Prioritize sleep: Aim for 7-9 hours of quality sleep each night.
2. Stay hydrated: Drink plenty of water to combat dehydration-related fatigue.
3. Exercise regularly: Moderate exercise can boost energy levels and reduce PMS symptoms.
4. Eat a balanced diet: Focus on iron-rich foods, complex carbohydrates, and lean proteins.
5. Practice stress-reduction techniques: Try meditation, yoga, or deep breathing exercises.
6. Consider supplements: Iron, vitamin B12, and magnesium may help with energy levels (consult with a healthcare provider before starting any new supplements).

When to Seek Medical Attention for Period Fatigue

While some level of fatigue during menstruation is normal, severe or persistent tiredness warrants medical attention. Consult with a healthcare provider if you experience:

• Extreme fatigue that interferes with daily activities
• Heavy menstrual bleeding
• Prolonged periods lasting more than 7 days
• Irregular menstrual cycles
• Severe PMS symptoms
• Signs of anemia or thyroid dysfunction

Your healthcare provider can perform necessary tests, diagnose underlying conditions, and recommend appropriate treatments to manage period-related fatigue effectively.

Innovative Treatments for Menstrual Disorders

Medical advancements have led to a variety of treatment options for menstrual disorders that contribute to fatigue. Depending on the underlying cause, your healthcare provider may recommend:

Hormonal Treatments

Hormonal birth control methods, such as oral contraceptives, patches, or intrauterine devices (IUDs), can help regulate menstrual flow and reduce symptoms of PMS. These treatments work by stabilizing hormone levels throughout the menstrual cycle.

Non-Hormonal Medications

For women who cannot or prefer not to use hormonal treatments, non-hormonal options are available. These may include:

• Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce menstrual pain and bleeding
• Antifibrinolytic medications to reduce heavy menstrual bleeding
• Selective serotonin reuptake inhibitors (SSRIs) for severe PMS or PMDD

Surgical Interventions

In cases of severe menorrhagia that do not respond to medication, surgical options may be considered. These can include:

• Endometrial ablation: A procedure that removes the uterine lining
• Uterine artery embolization: A minimally invasive procedure to reduce blood flow to the uterus
• Hysterectomy: Surgical removal of the uterus (considered a last resort)

The choice of treatment depends on various factors, including the severity of symptoms, underlying conditions, and individual preferences. Always consult with a healthcare provider to determine the most appropriate treatment plan for your specific situation.

The Role of Mental Health in Menstrual Fatigue

The connection between mental health and menstrual fatigue is often overlooked but can be significant. Stress, anxiety, and depression can all exacerbate period-related tiredness and contribute to a cycle of fatigue and emotional distress.

Addressing Mental Health Concerns

How can you support your mental health during your menstrual cycle? Consider these approaches:

• Practice self-care: Engage in activities that bring you joy and relaxation
• Seek support: Talk to friends, family, or a therapist about your experiences
• Maintain a regular sleep schedule: Consistency can help regulate mood and energy levels
• Consider cognitive-behavioral therapy (CBT): This can be particularly helpful for managing PMS and PMDD symptoms
• Explore mindfulness techniques: Meditation and mindfulness can help reduce stress and improve overall well-being

By addressing both physical and mental health aspects of menstrual fatigue, women can develop a comprehensive approach to managing their energy levels and overall quality of life during their menstrual cycles.

Empowering Women Through Education and Awareness

Understanding the complexities of menstrual health is crucial for empowering women to take control of their well-being. By raising awareness about period-related fatigue and its potential causes, we can encourage more open discussions and prompt women to seek appropriate care when needed.

The Importance of Menstrual Health Literacy

Improving menstrual health literacy can lead to better health outcomes for women. This includes:

• Understanding what constitutes a “normal” menstrual cycle
• Recognizing signs of potential health issues
• Knowing when to seek medical advice
• Being aware of available treatment options
• Feeling empowered to discuss menstrual health with healthcare providers

By promoting education and open dialogue about menstrual health, we can help reduce stigma and ensure that women receive the care and support they need to manage period-related fatigue effectively.

The Future of Menstrual Health Research

Ongoing research in the field of menstrual health continues to shed light on the complexities of the menstrual cycle and its impact on overall health. Future studies may lead to:

• More targeted treatments for menstrual disorders
• Improved understanding of the hormonal factors influencing period fatigue
• Development of innovative diagnostic tools for menstrual health issues
• Greater integration of menstrual health into overall healthcare practices

As our understanding of menstrual health evolves, so too will our ability to address period-related fatigue and other menstrual symptoms effectively.

Why You Should Not Ignore Tiredness during Your Period

09 July 2019    by – Dr Demetri C Panayi

Feeling fatigued and tired is a common occurrence that can be a direct impact of excessive physical activity, lack of sleep, unhealthy eating habits, or a side effect of some types of medication. Although most of these causes can be controlled and avoided, tiredness during the weeks leading up to (PMS) and during your period may be caused by an underlying health issue.

Many women suffer from menorrhagia, which is more commonly known as heavy periods. Around 1 in 3 women will seek treatment for the issue.

If heavy bleeding is interfering with your everyday life, you shouldn’t ignore it, as your body could be telling you there is something seriously wrong.

When Is a Period Heavy?

Throughout your menstrual cycle, the degree of menstrual bleeding differs from woman to woman; a period can be considered ‘heavy” when the following symptoms occur:

• At least one sanitary towel or tampon is soaked through each hour
• A pad and a tampon is used at the same time
• Waking up in the night to change sanitary product
• Bleeding for more than a week
• Large blood clots
• Normal day-to-day activities are affected

Extreme Tiredness May Be An Underlying Medical Condition

Heavy menstrual bleeding often causes women to feel tired, commonly known as period fatigue. This is normal due to the decrease in oestrogen levels, which occurs around this point in your menstrual cycle. Your energy levels will usually return to normal within a few days as your hormone levels begin to increase again. However, for some women, period fatigue and mood swings may last longer and be more extreme. Some women may experience pre-menstrual symptoms and find themselves completely sluggish and unable to properly carry out routine activities, signifying something more severe.

This should be investigated as there could, in fact, be a medical reason or underlining gynaecological conditions as to why your energy levels are low and you feel so fatigued during your period. You may generally be a person whose periods cause them to feel more tired than others, or you might have an underlying medical issue like anaemia or an underactive thyroid. The important point to make is that you should never ignore extreme menstrual fatigue.

Premenstrual syndrome

A few women will experience a combination of symptoms in a predictable pattern before their period. Premenstrual syndrome describes extreme changes in physical and emotional health that appear before the onset of your period and persist for a few days after it starts. Whilst PMS some symptoms are similar to those experienced during a period, their severity significantly interrupts everyday life and creates physical and mental suffering.

Even though the precise cause of premenstrual syndrome is unknown, research points to hormone shifts, pre-existing mental health issues, and particular lifestyle variables as significant factors. Premenstrual dysphoric disorder is the term used to describe very severe types of premenstrual syndrome, which need for further medical care.

Iron Deficiency Anaemia

The most common cause of iron deficiency anaemia is menorrhagia since there is often a significant amount of blood loss. The symptoms of iron deficiency anaemia include tiredness, pale skin, shortness of breath and heart palpitations during your menstrual cycles.

A diagnosis can be given after carrying out a full blood test to determine whether the number of red blood cells is within the normal range. If diagnosed with iron deficiency anaemia, your doctor will normally advise you to take iron supplements and improve your diet to increase the amount of iron-rich foods you eat; to compensate for the loss of nutrients during heavy periods.

Where heavy periods are the reason for your anaemia, medication is typically prescribed by your GP. There are several treatment options available for menorrhagia, and these will vary from patient to patient depending on several factors, including severity, medical history and lifestyle. Where medication is ineffective, surgical treatment may be recommended.

Hypothyroidism and Hyperthyroidism

The thyroid is a small butterfly-shaped gland found in the neck, the function of which is to produce hormones to regulate the metabolism of your body naturally.

Some women who experience extreme period fatigue and tiredness may find that they have an underactive thyroid, which means your thyroid is not producing enough hormones. Symptoms include feeling exhausted and wanting to sleep all the time even if you have had a full ‘night’s rest. Other common symptoms include weight gain and feelings of depression. Around 15 in 1000, women in the UK will suffer from hypothyroidism.

The opposite might occur where the thyroid is overactive and produces an excess of certain hormones; this is called hyperthyroidism.

Your GP can determine if you have a thyroid problem by carrying out a thyroid function test, taking a blood sample to measure hormone levels. If diagnosed, hormone replacement tablets are prescribed and should be taken daily, with blood tests being carried out regularly to monitor hormone levels.

Period Fatigue Recommendations

If you are experiencing heavy periods or extreme period fatigue, ensure that you see your GP or a private gynaecologist to outline whether it is due to any underlying health issues or not.

Some ways to combat the feeling of tiredness during your period include drinking plenty of water to avoid dehydration, improving sleep quality by getting at least 8 hours of sleep, and doing some physical activity or exercise – as it is the best fighter of period fatigue.

Private Gynaecologist London

5 Ways to Fight the Menstrual Fatigue

The tired feeling is all too familiar the week leading up to and during our period. Our hormones are fluctuating, our iron levels are dropping, we’re even struggling to get a good night’s sleep! There are multiple reasons why our energy levels will feel low, and succumbing to our sugar cravings won’t help either…

Let’s find out what causes the PMS fatigue and how we can fight it.

Is it normal to feel tired on your period?

Yes, it is completely normal to be tired during your period, and in the lead up before. During prime PMS time our progesterone levels rises and peaks, and then falls, continuing to fall through our periods. This leaves you feeling the dreaded menstrual fatigue.

Fatigue before and during period: what causes it?

• Hormones

  The roller coaster ride that is our hormones are one of the main culprits to causing the fatigue before and during our period, but other elements come into play too.

• Cravings

  Craving the carbs or treats topped with refined sugars can be oh so tempting, and caving in does mean you’ll feel that rush of energy. But it’ll be swiftly followed by a sugar crash and you’ll want to go grab those biscuits all over again – it’s a vicious cycle.

• Iron deficiency

  low iron levels can leave us a little worse for wear at this time. Whether it’s down to your period, stress or not being able to get a good sleep, it’s good to keep an eye on your iron intake.

How to overcome weakness during period

1. Use a period tracker

Firstly, we recommend using a period tracking app. Not only does it predict when your next period will be, but you can track your emotions and energy levels. If you’re recognising patterns in how you feel pre-your-period, it’ll help you prepare. You can change how you exercise, your diet or your sleep routine to adapt to where you are in your menstrual cycle. Find out which period tracker app is right for you.

2. Eat the right foods at the right times

Cravings for fast food and sweet treats are hard to resist. There are better options that won’t leave you with the mid-afternoon sugar comedown encouraging you to nap. Pack in protein-based foods like pulses and vegetables. Go for iron-rich foods like spinach too – blood loss means being low in iron, which is also a cause for fatigue. Check out these 9 foods you should eat on your period to help cramps! Check out 9 foods you should eat on your period to help cramps!

Smaller but more frequent meals throughout the day will also help stop your body from slumping. Large portions mean your body is putting more energy into digesting – contributing to your tiredness – and there’s a longer wait for your next meal. It’s an age-old trick for a reason!

Using your diet and timings to control your energy levels will help to keep you going throughout the day!

3. Get a good night’s sleep

It sounds like an obvious solution, and it really is when you sleep right! People tend to forget the ‘winding down’ part of going to sleep and as a result; don’t get those heavenly 8 hours. Ensuring you’re fully rested is crucial to fighting pre-menstrual fatigue. Here’s how:

• Avoid caffeine in the second half of the day
• Turn off all screens an hour before you to go sleep
• Hit the hay at the same time every night
• Have a sanctuary that you want to sleep in

Find out how to stop period leaks at night and sleep more soundly.

4. Exercise

For a guaranteed boost in energy, give exercise a go. Get the blood flowing and heart racing to release those endorphins. Exercise can also help to ease menstrual cramps if they’re stopping you from sleeping. Even building in some walks in the week before your period will help if you feel you can’t manage a full workout.

Find out whether you burn more calories on your period in our blog.

5. Stay hydrated and avoid alcohol

Feeling dehydrated often goes hand in hand with feeling tired. Make sure you’re glugging down at least 2 litres of water a day and staying refreshed. Choosing water over sugary drinks or caffeine means you won’t have to deal with the crashes or any disturbed sleeps!

Alcohol is a depressant which worsens feelings of tiredness. Try and avoid having that glass of wine with dinner or those after work drinks.

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Period Products

When to seek medical advice

If you’ve tried everything to fight the fatigue and still feel exhausted, check in with your doctor to see if there’s other issues that could be causing the problem.

Do you have any other tips and tricks that help with your menstrual fatigue? Let us know on know in the comments below 👇

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Weakness of the body, fatigue and impotence: treatment in Krivoy Rog

November 15, 2017

Weakness of the body, increased fatigue, constant fatigue Almost every person has ever experienced weakness, and gender and age do not play a decisive role here. Many reasons can lead to this condition, and their identification is mandatory. This is necessary mainly so that no serious pathology is hidden under the mask of “normal” weakness. Treatment of fatigue, loss of strength, drowsiness in Krivoy Rog!

Causes of weakness in the human body

It should be noted right away that there are quite a few causes of weakness and increased fatigue. Either a single isolated factor or a combination of several pathological conditions of the body as a whole can lead to weakness of the body:
• We can identify the main causes of weakness. They can be hypodynamia, physical and moral overload, insufficient sleep, unbalanced diet (which can, in turn, cause beriberi), improper work and rest, improper diets, including those aimed at reducing body weight;
• Weaknesses in the body are prone to women during menopause. A decrease in the production of sex hormones in some cases leads them to weakness in combination with dizziness and headache;
• In cases of a viral infection (influenza, SARS and others), weakness, drowsiness, and in some cases nausea, aches are explained by general intoxication of the body with the waste products of pathogenic viruses;
• Violation of the normal balance of vitamins and microelements in the human body is one of the frequent causes of weakness and loss of strength. With this imbalance, the basic metabolic processes of the macroorganism are disrupted already at the cellular level, which ultimately leads to a decrease in the normal activity of a person;
• The tendency to develop hypotonic conditions, when blood pressure is lower than normal, is also one of the causes of impotence and lethargy. In this case, this is due to a slowdown in the energy regulation of the body as a whole, which leads to weakness and disability;
• Analyzing the causes of weakness of the body, it is impossible not to mention anemia as one of them. It is a decrease in the number of red blood cells and / or their hemoglobin content. This leads to insufficient delivery of oxygen to the organs and tissues of the body, a decrease in their normal functioning and, as a result, the occurrence of impotence, lethargy, laziness;
The main causes of weakness of the body and poor health • Lead to weakness and various disruptions in the functioning of the endocrine system. So, with hypothyroidism (insufficient production of thyroid hormones), all vital processes are inhibited; there is a so-called chronic fatigue, weakness, lethargy, apathy. In hyperthyroidism, when the level of thyroid hormones is above normal values, a person constantly experiences, along with weakness, a feeling of heat, sweating, palpitations;
• In diabetes mellitus, when there is a condition close to hypoglycemia, a person experiences severe weakness, dizziness, and sweat becomes cold!

How to get rid of body weakness

unpleasant symptoms, it is advisable to go to the doctor.

Specialists of the Mediton Clinic, who have high professional qualifications and extensive experience, will carry out the necessary diagnostics. After examining the patient’s complaints and carefully collecting an anamnesis, the doctors of the Mediton Clinic will prescribe exactly the examination that this patient needs. Based on the results obtained, a scheme for the provision of medical care will be developed, including both the normalization of external causes of a non-medical nature, and, if necessary, medical correction.

Treatment of body weakness in Krivoy Rog

In the treatment of body weakness, methods of physiotherapy, climatotherapy, and sanatorium-and-spa healing of the body as a whole are of inestimable importance. Depending on the determination of the causes of drowsiness, loss of strength, increased fatigue and apathetic conditions, the doctor prescribes appropriate drugs to normalize the body’s activity, suppress the symptoms of an established pathology and directly treat diseases that have a negative impact. Vitamins, immunomodulators, probiotics are prescribed, a diet and daily routine are prescribed, physiotherapy, exercise therapy are recommended. If diabetes, thyroid disease, neurological disorders and other diseases are diagnosed, their therapy is prescribed in accordance with the diagnosis!

How to get rid of weakness: diagnosis and treatment appointment Reception of a neurologist, therapist, gynecologist-endocrinologist in Krivoy Rog: treatment of conditions of loss of strength, increased fatigue, drowsiness and general weakness of the body. Mediton Clinic: expert diagnostics, comprehensive examination, therapy prescription!

Read more:

Thyroid disorders

Treatment of chronic fatigue syndrome

Treatment of diseases of the central nervous system

Severe weakness: diagnosis, treatment and recommendations

Poor health in the form of physical weakness and loss of strength is a natural state of the body after intense prolonged exercise or stress. Thus, the central nervous system and muscles signal the need for rest. But constant fatigue may indicate a developing somatic or mental illness. It is important to distinguish such a symptom from ordinary fatigue and consult a doctor in time.

The MedEx Personal Medicine Clinic in Moscow offers comprehensive diagnostics and consultations from specialists who can deal with the most complex health problems.

Common causes of weakness and loss of strength

The need for rest is one of the basic in human physiology. Higher nervous activity, metabolism, the work of the muscular and cardiovascular systems consume a lot of energy, which needs to be regularly restored. The most effective ways: good nutrition and sleep. Fatigue from monotonous boring activities helps to remove switching activities to more interesting ones. The natural mechanisms of self-regulation of a healthy person are perfect enough to prevent pathological changes in the body. Severe weakness in the body is an eloquent signal of the body that its strength is depleted.

In most cases, fatigue is expressed by one or more symptoms, including:

• decreased muscle tone, aching pain in the muscles after intense exercise;
• decreased concentration, physical and mental performance;
• drowsiness.

Mild and moderate fatigue can be suppressed by volitional efforts or with the help of coffee, energy drinks. Severe fatigue causes headaches and a complex of uncontrolled reactions, including sudden emotional outbursts, impaired coordination of movements.

Depending on the degree of fatigue, the body needs a short or long period of relaxation. Normally, after several hours of rest, a good night’s sleep and a calm day regimen for several days, the ability to take active actions is completely restored.

Persistent weakness for no apparent reason or persisting signs of fatigue after prolonged rest is a cause for alarm. In this way, symptoms of a number of disorders can manifest:

• Hypovitaminosis: severe deficiency of one or more vital compounds. Weakness and dizziness against the background of a normal sleep pattern occurs with a lack of vitamin B12. This condition often provokes anemia, may be accompanied by endocrine diseases. Vitamin D deficiency is also fraught with chronic fatigue, distraction and apathy.
• Iron deficiency anemia: causes weakness in the body, dizziness, loss of strength, which torment constantly. Common causes of the disease: blood loss, malnutrition, impaired absorption of iron in the body.
• Pathology of the vessels of the brain or cervical spine. Insufficient blood supply causes regular pathological signs: weakness, tinnitus, “flies” before the eyes, severe dizziness.
• Hypotension: a drop in blood pressure leads to hypoxia and asthenic symptoms, the most characteristic of which are general weakness, drowsiness, periodic chills, apathy.
• Infections: influenza, measles, chicken pox, tuberculosis, hepatitis. Initial signs of such pathologies: high fever, headaches, muscle weakness.
• Endocrine pathologies. Malaise in the form of physical weakness, accompanied by a depressed mood and drowsiness, is characteristic of a reduced function of the thyroid gland.
• Heart failure. Well-being largely depends on the activity of the myocardium. With heart disease, fatigue, myasthenia gravis and shortness of breath are often observed.

Separately, among the causes of prolonged fatigue, doctors single out chronic fatigue syndrome. It is a neurological disorder with a complex of somatic features. It appears as a result of prolonged sleep deprivation, nervous and physical stress, prolonged stress at work and in everyday life, after viral infections.

Main symptoms of pathology:

• depressed mood;
• sleep disturbance: insomnia at night and daytime sleepiness;
• constant weakness without fever;
• irritability;
• deterioration in working capacity, inability to cope with simple tasks;
• causeless anxiety or apathy towards what is happening around.

Asthenia and dizziness may be a side effect of treatment while taking certain medications. Weakness appears with the use of antipsychotics, sedatives and antihistamines, drugs to lower blood pressure, hypoglycemic tablets. In these cases, the problem is solved by adjusting the course or replacing the drug with a more suitable analogue.

Which doctor to contact if you feel weakv

>If physical discomfort does not go away on its own within a few days, rest does not help, and symptoms only get worse over time, you should visit a general practitioner. At the appointment, the therapist will decide which specialists to refer the patient to for a comprehensive examination in a state of weakness.

These can be:

• cardiologist;
• endocrinologist;
• hematologist;
• gynecologist;
• neurologist.

To find out the causes and draw up a treatment plan for the pathology, the doctor prescribes a number of laboratory tests, including:

• general clinical blood test:
• biochemical analysis for sugar, creatinine, urea, liver enzymes – ALT, AST, bilirubin, protein;
• test for adrenal hormones, thyroid gland;
• analysis for pyridoxine, cyanocobalamin, vitamin D levels;
• diagnosis of infections, including viral hepatitis.

You will also need to perform a biochemical analysis of urine with the determination of the main physico-chemical parameters.

If differential diagnosis is necessary, instrumental studies can be prescribed: ultrasound of the abdominal organs, ECG, and others.