3 Causes of Fatigue We Rarely Talk About + How to Get More Energy | Dr. Jolene Brighten
Dr. Jolene BrightenPublished on July 3, 2025
Summary authored by editor@wellifi.com
TLDR Summary
This blog explores three hidden types of fatigue that women often experience—PCOS fatigue, neuro fatigue, and stress adaptation fatigue—along with actionable strategies to address them. Understanding these types of fatigue is crucial for regaining energy and improving overall health.
Key Points
- PCOS fatigue is a common yet often overlooked symptom linked to hormonal imbalances.
- Neuro fatigue arises from brain-related issues, particularly in neurodivergent individuals.
- Stress adaptation fatigue is characterized by dysregulated cortisol levels due to chronic stress.
Understanding Hidden Types of Fatigue in Women
In recent surveys, up to 90% of women report feeling exhausted most days of the week. Despite this alarming statistic, only a small fraction receive meaningful answers to their fatigue, often dismissed as just a part of aging, stress, or lack of sleep. In this blog post, we will explore three hidden types of fatigue that many women experience but are often overlooked by healthcare providers. We'll also discuss actionable strategies to regain energy and hormonal balance.
1. PCOS Fatigue
Polycystic Ovary Syndrome (PCOS) is the most common hormonal disorder among women of reproductive age, yet one of its most debilitating symptoms—crippling fatigue—is frequently ignored. Unlike general tiredness, PCOS fatigue can feel like an insurmountable weight, making even simple tasks feel exhausting.
Why Does PCOS Cause Fatigue?
- Insulin Resistance: Up to 70% of women with PCOS experience some degree of insulin resistance, impacting energy generation and leading to energy crashes and brain fog.
- Chronic Inflammation: Low-grade inflammation common in PCOS can deplete energy reserves and stress the mitochondria, which are essential for cellular energy production.
- Cortisol Dysregulation: PCOS often leads to dysregulation of cortisol levels, contributing to feelings of being "wired but tired" and difficulty in achieving restful sleep.
- Androgen Excess: High levels of androgens can disrupt sleep quality, making it harder to feel refreshed upon waking.
Strategies to Restore Energy in PCOS
- Stabilize Blood Sugar: Aim for 20-30 grams of protein at every meal, along with healthy fats and fiber to manage glucose levels.
- Increase Omega-3 Fatty Acids: Incorporate cold-water fish and herbs like turmeric to combat inflammation.
- Consider Supplements: Myo-inositol and D-chiro-inositol can help improve insulin sensitivity and support energy production.
- Gentle Exercise: Opt for low-impact activities like walking or yoga to improve insulin sensitivity without overexerting yourself.
2. Neuro Fatigue
Neuro fatigue is a type of fatigue that stems from the brain rather than the body. It is commonly experienced by individuals diagnosed with neurodivergent conditions such as ADHD or autism, exacerbated by societal expectations and the need to mask behaviors in a neurotypical world.
Understanding Neuro Fatigue
- Dopamine Crash: Neurodivergent individuals may experience fluctuations in dopamine levels, leading to feelings of unmotivation and fogginess.
- Sensory Overload: Everyday tasks can become overwhelming, leading to mental fatigue.
Strategies to Combat Neuro Fatigue
- Create Energy Boundaries: Assess activities based on whether they cost or give you energy and prioritize accordingly.
- Fuel Your Brain: Start your day with protein-rich foods to support dopamine production.
- Mindfulness Practices: Implement grounding techniques and sensory resets to recalibrate your nervous system.
3. Stress Adaptation Fatigue
Stress adaptation fatigue, often referred to as "wired and tired" syndrome, occurs when the body's response to chronic stress leads to dysregulated cortisol levels. This can manifest in grogginess upon waking and difficulty falling asleep at night.
Recognizing Stress Adaptation Fatigue
- Adaptation to Stress: Initially, cortisol levels rise to manage stress, but prolonged elevation can cause the system to crash.
Strategies to Address Stress Adaptation Fatigue
- Establish a Sleep Routine: Avoid screens before bed, create a calming environment, and consider practices like journaling or meditation.
- Limit Caffeine: Try to stop caffeine intake by mid-morning to reduce its impact on sleep.
- Gentle Movement: Engage in relaxing exercises, such as stretching or light yoga, to help manage cortisol levels.
Conclusion
Understanding the different types of fatigue that women experience is vital for reclaiming energy and improving overall health. If you identify with any of these types of fatigue, remember that you are not alone, and there are actionable steps you can take to address these issues. Always consult with a healthcare provider for personalized advice.
Key Takeaways
- PCOS fatigue is often misunderstood and is linked to insulin resistance and inflammation.
- Neuro fatigue stems from the brain and can be exacerbated by societal pressures on neurodivergent individuals.
- Stress adaptation fatigue involves dysregulated cortisol levels and can be addressed through a consistent sleep routine and lifestyle adjustments.