I’m 43 and have just started HRT after two years of utterly unexplainable but all encompassing fatigue. I used to be very fit, running and doing multi-day hikes, and it got as bad as me struggling with a gentle walk for half an hour. I have really struggled to keep working and have been panicked about losing my job through not being able to keep up, despite having a really good professional reputation. Various other explanations were offered including long covid (when I’d never actually tested positive for covid despite regular testing), chronic fatigue syndrome, and low ferritin - getting my iron levels up helped a bit but not that much. Then I started with the insomnia, which I’ve never suffered from, inability to remember names and other details when I’ve always had an almost photographic memory, aching limbs, real pain in wrists, ankles, hands and feet. Oh, and as soon as I turned 40 my periods went haywire with clotting, flooding - and that every three weeks instead of the four-five they’d always been.
I didn’t think about perimenopause because I assumed I was too young, and I avoided the Davina stuff and so on because I don’t like bandwagons and I thought it couldn’t be that bad.
When I described how I was feeling to an older friend recently as “I’m so tired I just hurt all over, and I can’t do the yoga and meditation and things I used to, because that depended on me feeling like my body was a nice comfortable place to be, and it just feels so achy and awful now I hate feeling into my body” she said that sounded exactly like perimenopause. So I talked with my GP again and we agreed a trial of HRT. Within literally two days the achy heaviness had lifted for the first time in two years. I thought it must be placebo to work so fast, but a few weeks on I don’t think so. I’m still feeling tired but I’m starting to feel like my old self again and to go out and do stuff in my spare time rather than lie helplessly on the sofa. I am also sleeping again. I know the risks, but life was just getting not worth living before the HRT. Now it all looks so much brighter.
I don’t know how typical my symptoms are. I think I’d have worked it out sooner if I was getting hot flushes. Apart from maybe the odd night sweat I’m not. I do wonder if fatigue and body aches are more prevalent for some women. Reading women’s stories it does seem so for a minority of us.