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During a normal menstrual cycle, the levels of the hormones estrogen and progesterone increase and decrease in a regular pattern. Whereas during perimenopause, hormone levels may not follow this regular pattern. As a result, you may have irregular bleeding or spotting. In case of some months, your period may be longer and heavier.

Other causes of anemia include a deficiency of iron, folic acid, or vitamin B12. Chronic diseases such as diabetes or kidney disease can also cause anemia. To confirm a diagnosis of anemia, your physician will give you a blood test. If iron deficiency is the cause of your fatigue, treatment may include iron supplements.

This pressure causes some of the signs and symptoms of carcinoma. the disease may also cause symptoms like fever, extreme tiredness that is fatigue, or weight reduction. This may be because harmful cells use up much of the body's energy supply, or they may release substances that change the way the body makes energy from food.

Most of the time fatigue can be traced to one or more of your habits or routines, particularly lack of exercise. It's also commonly related to depression. On occasion, fatigue is a symptom of other underlying conditions that require medical treatment.