The Menopause Society Mar 12 2025 Multiple menopause symptoms can make women feel fatigued. Hot flashes, sleep problems, pain, and depression are just a few. A new study suggests that heavy or prolonged menstrual bleeding may increase fatigue, which helps to explain why midlife women are two-to-four times more likely to experience debilitating forms of syndromic fatigue. Results of the study are published online today in  Menopause , the journal of The Menopause Society. Most women