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Why Am I Always Tired with PCOS? Everything You Need to Know About Combating PCOS and Fatigue

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If you have polycystic ovary syndrome (PCOS), you may have noticed that you often feel fatigued and sleepy, even after a full night's rest. This is a common symptom experienced by women with PCOS, and it can have a significant impact on your daily life.

In this article, we'll delve into the reasons why PCOS leads to fatigue, explore the connection between PCOS and sleep disturbances, and provide practical tips for managing this symptom.

Last Updated:
August 3, 2024
Paper written by:
Harriet Moxon, RN

Key Takeaways

  • Fatigue and sleepiness are among the most commonly reported symptoms of PCOS.
  • The underlying causes of PCOS-related fatigue include hormonal imbalances, insulin resistance, and inflammation.
  • Other factors, such as sleep disturbances, mental health issues, and nutritional deficiencies, can also contribute to the feelings of tiredness.
  • Managing PCOS-related fatigue requires a multifaceted approach, including lifestyle changes, medical treatments, and supportive therapies.

Understanding PCOS (Polycystic Ovary Syndrome)

Polycystic ovary syndrome (PCOS) is a common hormonal disorder affecting around 10% of people with female reproductive anatomy, significantly impacting overall health and well-being.

Specialists define PCOS as a syndrome characterised by at least two of the following three signs: menstrual cycle disturbances, elevated testosterone levels or signs of increased androgen levels, and the presence of multiple small follicles (or cysts) arranged around the ovary. This hormonal imbalance can lead to a range of symptoms and potential complications.

Common Symptoms and Complications of PCOS

In addition to fertility issues, which in many cases can be overcome, PCOS can also cause a variety of physical symptoms that may require constant management. These can include:

Causes and Risk Factors of PCOS

The exact cause of PCOS is not fully understood, but it is believed to be a combination of genetic and environmental factors. PCOS tends to run in families, and certain risk factors may include:

  1. Excess weight or obesity
  2. Insulin resistance
  3. Inflammation
  4. Hormonal imbalances, such as high levels of testosterone
  5. Fertility struggles 

It's important to note that PCOS can affect different women in different ways, and the symptoms and complications can vary from person to person. Understanding the complexities of PCOS is crucial for effective management and improved quality of life.

The Link Between PCOS and Fatigue

If you have PCOS, you may frequently experience fatigue, a common symptom that can be linked to several underlying factors:

  • Hormonal Imbalances and Fatigue: PCOS, an endocrine disorder, leads to hormonal imbalances such as elevated androgen levels and reduced progesterone. These imbalances disrupt the natural sleep-wake cycle, contributing to chronic fatigue in women with PCOS.
  • Insulin Resistance and Its Impact on Energy Levels: Up to 70% of women with PCOS suffer from insulin resistance, making it difficult for the body to regulate blood sugar effectively. This impairs the body’s ability to convert food into energy, leading to persistent low energy levels and fatigue.
  • Inflammation and Chronic Fatigue: Increased inflammation is common in PCOS and can significantly impact energy levels. Chronic inflammation, indicated by elevated markers like C-reactive protein, contributes to the fatigue experienced by many women with this condition.

Addressing these factors—hormonal imbalances, insulin resistance, and inflammation—is crucial for managing symptoms and improving energy levels in women with PCOS.

Other Factors Contributing to Fatigue in PCOS

In addition to the hormonal imbalances and metabolic factors associated with PCOS, there are other important contributors to the fatigue and sleepiness experienced by many individuals living with this condition. Understanding these additional factors can help you develop a more comprehensive strategy for managing your PCOS-related fatigue.

  1. Sleep Disturbances and PCOS

People with PCOS may be more likely to experience sleep-related issues, which can significantly increase the likelihood of developing persistent fatigue. Studies suggest that difficulty falling asleep and maintaining sleep are twice as common in those with PCOS, and they are 50% more likely to develop a sleep disorder over a 10-year period. 

Obstructive sleep apnea, which can dramatically affect sleep quality, is also more common in individuals with PCOS.

  1. Mental Health and Emotional Stress

Depression and anxiety are commonly experienced by those with PCOS, and these mental health conditions can contribute to feelings of fatigue and low energy levels. The emotional stress of managing PCOS symptoms, such as irregular periods, weight gain, and infertility, can increase feelings of tiredness and exhaustion.

Additionally, hormonal imbalances in PCOS can directly impact mood and energy levels, creating a cycle where mental health issues and physical symptoms reinforce each other. Effective management of both mental health and PCOS symptoms is crucial for improving overall well-being.

  1. Nutritional Deficiencies and Fatigue

Nutritional deficiencies, such as low levels of iron, B-complex vitamins, and magnesium, are common in individuals with PCOS and can lead to fatigue, hair loss, and other symptoms.

Addressing these deficiencies through a balanced diet rich in leafy greens, vitamins, and minerals, or through supplementation, can help correct these imbalances and potentially reduce the fatigue associated with PCOS.

Managing Fatigue and Sleepiness Related to PCOS

Persistent fatigue and sleepiness can significantly impact the quality of life for those with PCOS. Here are effective strategies to help manage these symptoms and boost overall energy levels:

Lifestyle Changes and Diet

Adapting your lifestyle and dietary habits is crucial in managing PCOS-related fatigue:

  • Balanced Diet: Incorporate a diet rich in protein, low in refined carbohydrates, and high in fibre to help regulate blood sugar levels and combat lethargy.
  • Hydration: Ensuring adequate water intake throughout the day is essential for maintaining energy.

Exercise and Physical Activity

Regular exercise is a proven strategy to alleviate fatigue:

  • Cardiovascular Activities: Activities like brisk walking or cycling can significantly enhance energy levels.
  • Strength Training: Incorporating strength training exercises helps improve physical stamina and mental well-being. Begin with light exercises and gradually increase intensity and duration to avoid exhaustion.

Medical Treatments and Therapies

Addressing the underlying causes of PCOS-related fatigue may require medical interventions:

  • Medications: Drugs like metformin, which improves insulin sensitivity, and inositol supplements, which may regulate menstrual cycles and alleviate symptoms, are often beneficial.
  • Additional Therapies: Statins and other treatments can lower the risk of heart disease—a condition linked to increased fatigue in people with PCOS.

Working closely with your healthcare provider to tailor a treatment plan specific to your needs is essential. A comprehensive approach that includes lifestyle modifications, physical activity, and appropriate medical interventions can effectively manage PCOS-related fatigue, enhancing your overall quality of life.

Coping Strategies for PCOS-Related Fatigue

There are several coping strategies that can help manage PCOS-related fatigue and improve overall well-being.

Stress Management Techniques

  • Mindfulness Practices: Engage in activities like yoga, meditation, and deep breathing exercises to reduce stress and promote calm.
  • Regular Exercise: Incorporate physical activities to help regulate cortisol levels and improve sleep quality.
  • Relaxation Techniques: Use methods such as progressive muscle relaxation and guided imagery to manage stress effectively.

Sleep Hygiene and Improvement

  • Consistent Sleep Routine: Establish a regular sleep-wake cycle to improve sleep quality.
  • Screen Avoidance: Avoid screens before bedtime to help signal to your body that it's time to wind down.
  • Relaxing Bedtime Routine: Develop a calming pre-sleep routine, such as reading or taking a warm bath.
  • Optimal Sleep Environment: Ensure your bedroom is dark, cool, and quiet to enhance sleep.

Support Groups and Counselling

  • Community Support: Join PCOS-specific support groups to connect with others who understand the challenges, providing a sense of community and practical advice.
  • Professional Counselling: Seek counselling to develop coping mechanisms and address mental health concerns contributing to fatigue.

By adopting these coping strategies, individuals with PCOS can take proactive steps to manage their fatigue and improve their overall quality of life. Incorporating stress management, sleep hygiene, and support can be a powerful approach to addressing the persistent tiredness associated with this condition.

Before you go..

Understanding why PCOS leads to feelings of constant tiredness and sleepiness is crucial for managing this common condition effectively. By addressing underlying factors such as hormonal imbalances, stress, and sleep disturbances, individuals can take proactive steps to improve their energy levels and overall well-being.

Explore our related articles to gain more insights into managing PCOS symptoms and enhancing your quality of life. These resources offer valuable tips and strategies to help you navigate the challenges of living with PCOS and achieve better health outcomes.

Read More

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FAQs

What is the link between PCOS and fatigue?

The hormonal imbalances, insulin resistance, and other factors associated with PCOS can contribute to feelings of fatigue and low energy levels. PCOS can lead to sleep disturbances, mental health issues, and nutritional deficiencies, all of which can drive fatigue.

How can PCOS cause sleep problems and daytime sleepiness?

PCOS is linked to higher rates of sleep disorders like sleep apnea, as well as difficulties falling and staying asleep. Hormonal imbalances, anxiety, and depression can all disrupt sleep and lead to daytime fatigue and sleepiness.

What are some common nutritional deficiencies in PCOS that can contribute to fatigue?

Individuals with PCOS are more likely to experience deficiencies in vitamins like B12, D, and iron, as well as minerals like magnesium. These nutritional shortfalls can sap energy levels and cause persistent feelings of tiredness.

How can lifestyle changes help manage PCOS-related fatigue?

Making adjustments to your diet, exercise routine, and sleep habits can all help regulate hormone levels, improve insulin sensitivity, and reduce fatigue in PCOS. Stress management techniques like mindfulness can also be beneficial.

What medical treatments are available for PCOS-associated fatigue?

Medications like metformin, inositol and statins can help manage PCOS symptoms and complications that contribute to fatigue. Working closely with your healthcare provider to develop a personalised treatment plan is key.

Date First Published:
August 3, 2024
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By -

Harriet Moxon, RN

July 30, 2024

Institute of Medical Physics