Health Briefs

Published on May 27th, 2019 | by Susan Matos-Cloke


Fatigue May Be a Symptom of Hormonal Imbalance

by Susan Matos-Cloke 

One of the most common symptoms of hormone imbalance is fatigue. For many women experiencing the wild roller-coaster ride of hormonal ups and downs during perimenopause, it can be utterly exhausting. Men often feel that same weary, lethargic, low-energy fatigue when their testosterone levels dip below normal.

Estrogen and testosterone are essential hormones that perform hundreds of tasks throughout the body. They work synergistically with other hormones to provide the energy and well-being our body needs to perform at its best. The hormone loss and deficiency of andropause and menopause rob us of  vitality, motivation and  health.

Both men and women can also experience what is called “crashing fatigue” as part of testosterone deficiency or perimenopause. This extreme tiredness and lethargy can hit suddenly and unexpectedly. It can occur at any time of day, and is unrelated to recent physical exertion. Crashing fatigue has been described as abrupt overwhelming feelings of weakness, exhaustion and diminished energy level.

Unfortunately, the disruptive saga of fatigue continues, as there are generally other symptoms that accompany hormone deficiency-related fatigue. Daytime sleepiness is often followed by nighttime sleeplessness. Night sweats and hot flushes are frequently blamed for the sleep interruptions. Sleep deprivation, in turn, can create mood changes, irritability, depression and difficulty in managing the daily routine. It can also raise the risk of high blood pressure, Alzheimer’s, heart disease, stroke, diabetes, obesity and other health issues.

It can seem like a bleak picture, but it doesn’t have to be. Bioidentical hormone pellet therapy can relieve debilitating fatigue. For the multitudes of men and women that suffer with hormone deficiency-related fatigue and other symptoms, bioidentical hormone pellet therapy, when properly administered, can help restore hormonal balance and alleviate symptoms, including fatigue.

Dr. Susan Matos-Cloke owns and operates Advanced Hormone Solutions, located at 122 E. Ridgewood Ave., in Paramus. She is a certified SottoPelle-trained natural hormone specialist and a 30-year board-certified internist. To make an appointment, call 201-225-2525, email or visit

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