Ladies, if you’re constantly asking yourself, “Why am I always so tired?”—you’re not alone. Whether you’re powering through work, raising a family, or juggling both, fatigue can sneak up and drag you down. But before you blame it all on a busy schedule, it’s worth taking a closer look. Sometimes, the real reason behind your low energy isn’t just lifestyle—it might be something going on beneath the surface.Here are eight reasons your energy tank might be running low—and what you can do about it.
1. You Might Need a Lifestyle Reset
Let’s start with the basics: sleep, diet, and exercise. These three pillars form the foundation of your energy. If even one is off, your whole system feels it.
Sleep: Aim for 7–9 solid hours each night. Quality matters, not just quantity.
Diet: Focus on whole foods—fruits, vegetables, lean protein, whole grains. Skip the processed stuff.
Exercise: A little movement goes a long way. A brisk walk can boost your energy more than a sugary snack ever will.
If you’re doing all the right things and still dragging, there could be an underlying medical reason. Let’s explore those next.
2. Anemia
Iron-deficiency anemia is especially common in women—particularly during menstruation or pregnancy. Iron is essential for transporting oxygen throughout your body. Without enough of it, your cells are starved for air.Symptoms: Fatigue, dizziness, brain fog, palpitations, even pale skin.What to do: Ask your doctor for a blood test. Iron supplements or dietary changes may help get you back on track.
3. Diabetes
Feeling wiped out can be an early sign of diabetes. Blood sugar swings can be demanding on your body, leaving you feeling completely drained.Watch for: Excessive thirst, frequent urination, blurry vision, or slow-healing wounds.Next step: A simple blood test can determine if your blood sugar is where it should be.
4. Thyroid Troubles
That tiny butterfly-shaped gland in your neck? It plays a huge role in your energy. If it’s underactive—a condition called hypothyroidism—you’ll likely feel sluggish, cold, and maybe even a little foggy.What to watch for: Fatigue, dry skin, weight gain, or constipation.Solution: A thyroid function test can reveal imbalances. Treatment is usually simple and effective.
5. Heart Disease
Heart disease isn’t just a man’s problem. Women can—and do—develop it, often with different symptoms. Fatigue that worsens with activity could be a warning sign your heart isn’t pumping efficiently.Other signs: Shortness of breath, swelling in legs or ankles, chest discomfort.Don’t wait: If you suspect something’s off, see your doctor. Heart health is your health.
6. Sleep Apnea
Do you wake up tired no matter how long you slept? You might have sleep apnea—a condition where your breathing stops and starts throughout the night, keeping your brain from getting proper rest.Clues to look for: Loud snoring, daytime drowsiness, waking up with headaches.Fixable? Yes. A CPAP machine can restore your sleep and your energy.
7. Menopause
Hot flashes and night sweats aren’t just annoying—they disrupt sleep. Hormonal shifts during menopause can throw your rest out of rhythm, leaving you feeling zapped the next day.How to cope: Talk to your doctor about options—from lifestyle changes to hormone therapy—that can ease symptoms and help you sleep soundly again.
8. Depression
Fatigue isn’t just physical—it can also be emotional. Depression can leave you feeling both mentally and physically exhausted, even if you’re getting enough sleep.What you might notice: Low motivation, changes in appetite, trouble sleeping or sleeping too much.You’re not alone: Talk to a healthcare provider. Be open to seeing a therapist or possibly taking medication, or a combination of both which can make a significant difference.
Bottom Line
Feeling tired all the time is not something you have to live with. If you’re checking all the boxes with healthy habits but still feel worn out, it’s time to dig deeper. Don’t ignore what your body’s trying to tell you.Take charge of your health—you deserve to feel your best. And if you’re not sure where to start, your doctor is always a good place to begin.Dr. David Samadiis the Director of Men’s Health and Urologic Oncology at St. Francis Hospital in Long Island. He’s a renowned and highly successful board certified Urologic Oncologist Expert and Robotic Surgeon in New York City, regarded as one of the leading prostate surgeons in the U.S., with a vast expertise in prostate cancer treatment and Robotic-Assisted Laparoscopic Prostatectomy. Dr. Samadi is a medical contributor to NewsMax TV and is also the author of two books, Prostate Cancer, Now What? A Practical Guide to Diagnosis, Treatment, and Recovery and The Ultimate MANual, Dr. Samadi’s Guide to Men’s Health and Wellness, available online both on Amazon and Barnes & Noble. Visit Dr. Samadi’s websites at robotic oncology and prostate cancer 911.
