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If women suffer from prolonged fatigue, insomnia or abnormal weight, this should not only be attributed to menopause, but may also be related to anemia, thyroid or metabolic problems. Doctors demand prompt medical evaluation.
Women often feel tired, unable to sleep well and even experience weight changes, muscle pain and other symptoms. Many people think that it is just because of high work pressure, or that they are old or near menopause, and they can bear it for a while. Doctors remind that these symptoms may be related to hormonal changes, or they may be warning signs of anemia, thyroid dysfunction, metabolic problems, and other diseases. If it continues to affect your life, you should seek medical advice as soon as possible to find out the cause.
The average life expectancy of Taiwanese women is increasing year by year, according toMinistry of Interior According to statistics, the average life expectancy of women will reach 84.75 years in 2025, but living long does not mean being healthy. A study analyzing data from Taiwan’s menopause counseling hotline found that of 20,882 female counselors aged 40 to 89, 66.5% reported fatigue and 59.6% reported fatigue.insomnia Disturbingly, it shows that the physical and mental health problems of middle-aged and elderly women cannot be ignored.
Lin Sihong, founder of Wuqing Clinic and an obstetrician and gynecologist, said that women’s bodies will experience changes of varying degrees from postpartum to menopause before returning to work. Fatigue, light sleep, weight gain or frequent pain can be affected by daily routine, psychological stress, hormones and other diseases. Age alone cannot be used to determine whether menopause has entered or not.
The World Health Organization states that the natural age of menopause in women is usually between 45 and 55 years, and the menopause transition stage can last for several years. Lin Sihong said that if there is prolonged insomnia, obvious menstrual abnormalities, persistent pain, etc., the doctor should evaluate the medical history and personal risk, and arrange for further examinations if necessary to avoid delaying treatment.
Dr. Zheng Boren of Longevity Medicine and Obstetrics and Gynecology explained that women’s health care should not only focus on pregnancy and childbirth. Postpartum women also face challenges such as lack of sleep, increased nutritional requirements, metabolic changes, and recovery in body functions. The traditional concept is that the postpartum period ends after confinement (fourth trimester). The medical community and obstetrics and gynecology promote the concept of the “fifth trimester”, emphasizing that postpartum health management should continue to expand to help women regain their physical strength and lay the foundation for future health.
Zheng Boren suggested that women should gradually establish habits such as regular exercise, balanced diet, adequate sleep, and muscle strength training by the age of 35 to 40. Especially in the early stages of menopause, women should pay more attention to bone health, muscle mass, and metabolic changes rather than waiting for obvious physical problems to begin adjusting.
Starting in 2025, the National Health Service will provide two publicly funded postnatal health care services to eligible mothers, which will include assessment of physical, psychological, maternal and perinatal illnesses and lifestyle, allowing postnatal care to take into account the health of both baby and mother. Lin Sihong said that if women returning to work after giving birth are tired for a long time, they should evaluate their sleep, breastfeeding, diet and medication status, and then check for anemia, thyroid and blood sugar problems as needed. If it is combined with insomnia, pain or pelvic floor dysfunction, you should also seek help from relevant experts to know the real cause.
Summary FAQ
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In addition to hormonal changes, these symptoms can also come from anemia, thyroid dysfunction, metabolic problems, or life stress. If you make decisions based only on age, it is easy to delay the diagnosis and treatment of the real cause.
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If you have chronic insomnia, obvious menstrual abnormalities, persistent pain, weight changes, or frequent fatigue, your doctor should take a medical history and risk assessment, and check for anemia, thyroid, blood sugar, and other items if necessary.
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Doctors recommend starting from the age of 35 to 40 with regular exercise, a balanced diet, adequate sleep, and strength training. After childbirth, you should also continue to pay attention to sleep, nutrition, metabolism, and medication, and seek expert help if needed.











