For perimenopause and menopause sufferers, fatigue is a very common health complaint. It is a state of overwhelming, weariness, tiredness, lethargy, sustained exhaustion and decreased capacity for physical and mental work that is unrelieved by rest. It is generally defined as a feeling of lack of energy and motivation. It is not the same as drowsiness, but the desire to sleep may accompany fatigue. Many people experience stress and extreme fatigue that is enough to interfere with their normal life.