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Feeling Tired and Dizzy? A Self-Check Guide for Perimenopause and Menopause Symptoms


Are you a professional woman over 40, suddenly finding yourself battling extreme fatigue, tiredness, or dizziness that you haven’t had before, and wondering what’s going on with you?

It can be incredibly frustrating and even a bit scary when these symptoms appear out of nowhere.

But I want you to know, you're not alone in this journey.

If you're a woman over 40, chances are you might be on the path through perimenopause or menopause. 

Are you curious to find out? 

So, in this post, I'll share with you the 10 quick questions that I often discuss with my clients. These questions can provide valuable insights into your unique situation so you can start your search for solutions.

I'm Miyako Hazama, a Menopause Energy Expert and Mentor.

My mission is to help busy, professional women in perimenopause and menopause relieve their challenges naturally by tapping into the little-known Asian Energenic fountain of youth.

Now, before we begin, it's essential to remember that what I'm sharing here is based on what I've seen work for myself and my clients. It's not medical advice, but it's a vital step toward understanding and managing your symptoms more effectively.

I want to emphasize one key point right from the start:

Determining whether the fatigue or dizziness you're experiencing is related to hormonal changes during perimenopause or menopause is a crucial first step.

Understanding what you're going through can alleviate worries, such as 'What's happening to me?' and empower you to take necessary actions.

One such action is prioritizing self-care in your daily routine to manage your energy, which is something I'm deeply passionate about.

By doing so, you may discover that there's no need to rush to the doctor or consider hormone replacement therapy (HRT), a topic I'll cover in a future video.

What Fatigue and Dizziness Look Like - In Peri/Menopause:

But now, let's focus on your symptoms and take a moment to understand what fatigue or dizziness can look like in perimenopause and menopause. 

Because you’ll find that it’s quite different from what you might used to feel.

To illustrate, I share a story of a woman I spoke with who suddenly felt dizzy while walking her dog. 

She worried “Am I gonna get home?”

It was just one kilometer from home, but that was all she could manage. 

And then she lay on the sofa, feeling so tired. 

What's important here is that this lady used to be active, regularly going to the gym, and had never experienced such dizziness or fatigue before. 

It's a scenario that could happen to many active-looking women because of hormonal changes. 

Can you relate

Some women say, "I feel exhausted even after a good night's sleep." Others share that they're missing workdays because they're just too tired to function.

These unsettling symptoms can emerge seemingly out of nowhere, leaving you wondering what's happening to your body.

In fact, studies indicate that 46%, nearly half, of peri-menopausal women, report experiencing symptoms of physical and mental exhaustion.

Surveys have revealed that a staggering three out of every five menopausal women, typically aged between 45 and 55, experienced negative effects on their work performance due to these very symptoms.

Have you observed this phenomenon in your workplace or perhaps heard about it from friends?

10 Quick Questions for Self-Assessment

Now, let's move on to the ten quick questions for self-assessment.

These questions will help you understand your symptoms and whether they might be related to perimenopause or menopause. Here they are:

1. Are you a woman over 40?

Perimenopause typically begins in the late 30s to early 40s, and menopause usually occurs between the ages of 45 and 55.

2. Have you noticed changes in your menstrual cycle?

Such as irregular or unpredictable periods, heavier or lighter flow, or changes in frequency can be signs of hormonal fluctuations.

The menopausal transition, known as perimenopause, begins four years before a woman’s final menstrual cycle.

If you have not had a period in the last consecutive 12 months without an obvious cause, such as hormonal medications, thyroid problems, pregnancy, or a prolactin disorder, you might be in menopause.

3. Have you noticed a significant decrease in your energy levels?

Like the examples I described earlier.

4. Do you experience hot flashes, cold flashes, or night sweats? 

These are classic symptoms of menopause, but they can also occur during perimenopause.

5. Have you noticed any sudden uncontrollable changes in your mood? 

Or do you find yourself feeling worried, irritable, or anxious out of nowhere? Hormonal changes can impact mood and emotions.

6. Have you had difficulty sleeping or noticed changes in your sleep patterns?

Insomnia or restless sleep can be linked to hormonal changes.

Indeed, this data is quite eye-opening. An astounding 80 percent of women find themselves grappling with these common symptoms, including hot flashes, sleep disturbances, and mood swings during the perimenopausal phase.

Can you see how common they are?

7. Have you noticed changes in your weight or body composition that can't be explained by diet or exercise? 

Hormonal shifts can affect metabolism and body fat distribution.

8. Do you have brain fog or difficulty concentrating?

Memory lapses and trouble focusing can be linked to hormonal changes.

9. Are you experiencing other physical symptoms like joint pain, headaches, or migraines?

These physical symptoms often point to the hormonal changes that occur during perimenopause and menopause, and they can significantly impact your overall well-being.

10. Additionally, are you feeling stressed, anxious, or emotionally overwhelmed?

Emotional well-being is closely linked to hormonal balance during this stage, impacting your quality of life.

After you've answered these 10 questions, if you discover that you're experiencing one or more of these symptoms alongside the typical tiredness I mentioned earlier, considering your age range and menstrual cycle, chances are you're on the journey through perimenopause or menopause.

Knowing what's happening is like holding a superpower. Here's why:

Shared Experience:  Many women in your age group face similar symptoms, though they can vary widely from person to person.

But the best part? You're not alone in this journey. A vast community of women, and experts like myself, are here to support you.

Early Identification:
Identifying and addressing these symptoms early on equips you to avoid more serious menopause-related issues later.

These symptoms can accumulate over time, significantly affecting your quality of life during this transitional phase.

Incredible Transformations: And guess what? I've witnessed incredible transformations in the women I've had the privilege to assist.

Knowing the cause of your symptoms enables you to take targeted actions, leading to remarkable improvements in your well-being.

Moving Forward:

Armed with this knowledge, you're now in a position to take proactive steps. Whether you're contemplating HRT or seeking natural methods to manage your symptoms, making informed decisions is crucial. 

In upcoming discussions, I want to share holistic approaches to managing menopause symptoms naturally, drawing from both personal experiences and those of the women I've supported through their journeys.


Understanding and managing the symptoms of perimenopause and menopause is a powerful step toward reclaiming your energy and vitality. Remember, you're not alone in this journey. 

By recognizing the signs early and exploring solutions that work for your body and well-being, you can navigate this phase of life with grace and empowerment.

Let your transitional stage in life be an opening door for achieving a balanced and fulfilling life while continuing to thrive in your professional career. 

Love, Miyako

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About Miyako:

Miyako Hazama, at 60, is a transformative force for women over 40 navigating the challenges of perimenopause and menopause. Through her Energenic Life Design system, she unites ancient Asian wisdom with specialized deep breathing techniques and high-performance coaching.

This method not only helps women manage symptoms naturally but also fosters a deep connection between body, mind, and spirit, creating space for relief and growth.

It revitalizes joy and true sense of fulfillment across both personal and professional lives. Beyond simply managing symptoms, Miyako's work is committed to leading women to a state of renewed vibrancy, fostering a balanced and purposeful life that endures in the long run.

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💖 Don't let perimenopause hold you back!

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