{"id":568325,"date":"2025-11-13T20:15:27","date_gmt":"2025-11-13T20:15:27","guid":{"rendered":"https:\/\/www.europesays.com\/uk\/568325\/"},"modified":"2025-11-13T20:15:27","modified_gmt":"2025-11-13T20:15:27","slug":"im-always-tired-in-winter-so-i-asked-a-doctor-why-here-she-reveals-the-alarming-reason-so-many-women-are-struck-down-with-fatigue-and-the-red-flags-that-point-to-serious-issues","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/uk\/568325\/","title":{"rendered":"I&#8217;m always tired in winter, so I asked a doctor why. Here, she reveals the alarming reason so many women are struck down with fatigue&#8230; and the red flags that point to serious issues"},"content":{"rendered":"<p class=\"mol-para-with-font\">When the clocks go back, I immediately feel tired. I\u2019ve always put it down to darker, shorter days, aversion to the cold and too many mulled wines on winter evenings. But it\u2019s not fun trying to tackle <a style=\"font-weight: bold;\" target=\"_self\" href=\"https:\/\/www.dailymail.co.uk\/news\/christmas\/index.html\" id=\"mol-a0736380-c087-11f0-abec-35a538c6f173\" rel=\"noopener\">Christmas<\/a> while also feeling constantly exhausted \u2013 so I decided to get an expert on the case.<\/p>\n<p class=\"mol-para-with-font\">According to <a style=\"font-weight: bold;\" target=\"_blank\" class=\"class\" href=\"https:\/\/www.doctorfox.co.uk\/?srsltid=AfmBOorB40OqalePRZMQXA2lrOci9P9vEKhOgoYDyt6bEAWm7zOAfhRO\" rel=\"noopener\">Dr Deborah Lee from Dr Fox Online Pharmacy<\/a>, I\u2019m not just imagining my change in energy levels. Women are disproportionately affected by winter tiredness, thanks to a mix of hormones, biology and lifestyle pressures that all intensify once daylight hours drop.<\/p>\n<p>   <img decoding=\"async\" id=\"i-2cef464bde54d957\" src=\"https:\/\/www.europesays.com\/uk\/wp-content\/uploads\/2025\/11\/103848143-15287529-image-a-9_1763035792373.jpg\" height=\"423\" width=\"634\" alt=\"\" class=\"blkBorder img-share\" style=\"max-width:100%\" loading=\"lazy\" \/>   <\/p>\n<p class=\"mol-para-with-font\">To understand why fatigue peaks for women in the colder months \u2013 and how to get your energy back \u2013 I asked Dr Lee to break down the science behind winter fatigue, the red flags that it might be something more serious and the fixes that actually help deliver a much-needed boost when you\u2019re seriously flagging.<\/p>\n<p>Why do so many women feel more tired in winter?<\/p>\n<p class=\"mol-para-with-font\">According to Dr Lee, women are more susceptible to winter tiredness for several reasons.<\/p>\n<p class=\"mol-para-with-font\">First is Seasonal Affective Disorder (SAD), which is much more prevalent in women. \u2018Around 1 in 20 people are affected by SAD, and four out of five of them are women,\u2019 she notes. Symptoms typically start in autumn and continue through winter, and can include low mood, oversleeping, lack of interest and profound fatigue.<\/p>\n<p class=\"mol-para-with-font\">It\u2019s not well understood why women suffer more with SAD, but it may well be linked to serotonin levels. Sunlight helps the body make vitamin D, and vitamin D is needed to produce serotonin \u2013 the hormone responsible for mood and energy. \u2018Women tend to have lower vitamin D levels than men,\u2019 Dr Lee adds, which may make them more vulnerable in darker months.<\/p>\n<p class=\"mol-para-with-font\">Fluctuating oestrogen levels can compound the problem. \u2018Oestrogen helps create serotonin,\u2019 she explains. \u2018Women experience more hormonal fluctuation in the winter than in the summer months,\u2019 Dr Lee says, which may again hinder the production of energy-boosting serotonin.<\/p>\n<p class=\"mol-para-with-font\">Women also produce more melatonin \u2013 the sleep hormone \u2013 than men, and melatonin rises further in winter. \u2018When specialised cells at the back of the eye detect light, this switches off melatonin production and tells the brain it\u2019s time to wake up,\u2019 Dr Lee explains. \u2018When it gets dark, the eye detects the absence of light and switches on melatonin production, telling the brain it\u2019s time for us to go to sleep. Hence the shorter the days, the more melatonin is produced, and the sleepier we feel.\u2019<\/p>\n<p class=\"mol-para-with-font\">And then there\u2019s the cold factor. Women have less muscle and more fat than men (it\u2019s an evolutionary difference that helps support the high energy demands of fertility and fetal development). Muscle generates heat efficiently; fat doesn\u2019t. \u2018Women often feel the cold more, and feeling the cold makes you feel tired,\u2019 Dr Lee explains.<\/p>\n<p>What are the most common medical or nutritional causes of tiredness in women?   <img decoding=\"async\" id=\"i-f0079860b11f921\" src=\"https:\/\/www.europesays.com\/uk\/wp-content\/uploads\/2025\/11\/103848147-15287529-image-a-10_1763035804716.jpg\" height=\"423\" width=\"634\" alt=\"\" class=\"blkBorder img-share\" style=\"max-width:100%\" loading=\"lazy\" \/>   <\/p>\n<p class=\"mol-para-with-font\">Tiredness is one of the most common reasons people see their GP. \u2018Around 10\u201320% of all consultations are about feeling tired,\u2019 says Dr Lee. The most common culprits? Stress, poor sleep, a low-quality diet and mental health conditions such as depression or anxiety.<\/p>\n<p class=\"mol-para-with-font\">But sometimes, persistent fatigue points to a medical condition. These include:<\/p>\n<ul class=\"mol-bullets-with-font\">\n<li class=\"class\">Diabetes<\/li>\n<li class=\"class\">Hypothyroidism<\/li>\n<li class=\"class\">Iron-deficiency anaemia<\/li>\n<li class=\"class\">Kidney or liver disease<\/li>\n<li class=\"class\">Chronic infections (such as glandular fever)<\/li>\n<li class=\"class\">Autoimmune conditions (such as rheumatoid arthritis or lupus)<\/li>\n<li class=\"class\">Myalgic encephalitis (ME)<\/li>\n<\/ul>\n<p class=\"mol-para-with-font\">Women are particularly prone to iron-deficiency anaemia (often due to heavy periods), thyroid disease, and autoimmune disorders \u2013 all of which can present as exhaustion. Postmenopausal women also experience higher rates of sleep apnoea, which often goes undiagnosed and can cause lower-quality sleep and fatigue.<\/p>\n<p>How can women tell the difference between \u2018normal\u2019 tiredness and fatigue that needs investigating?<\/p>\n<p class=\"mol-para-with-font\">\u2018Everyone feels tired sometimes,\u2019 says Dr Lee. But if tiredness lasts more than a few weeks and is getting worse, it\u2019s time to see a GP \u2013 especially if it&#8217;s stopping you from living normally.\u00a0<\/p>\n<p class=\"mol-para-with-font\">Other warning signs include:<\/p>\n<ul class=\"mol-bullets-with-font\">\n<li class=\"class\">Unexplained weight loss or gain<\/li>\n<li class=\"class\">Night sweats<\/li>\n<li class=\"class\">Unusual bruising or bleeding<\/li>\n<li class=\"class\">Chest pain or breathlessness<\/li>\n<li class=\"class\">Changes in bowel habits<\/li>\n<\/ul>\n<p class=\"mol-para-with-font\">And don\u2019t ignore snoring. \u2018As much as 80% of sleep apnoea is undiagnosed,\u2019 Dr Lee notes, and resolving that condition will significantly improve your energy levels.<\/p>\n<p>Which vitamin or mineral deficiencies are most common in women \u2013 and do supplements actually help?<\/p>\n<p class=\"mol-para-with-font\"><a style=\"font-weight: bold;\" target=\"_self\" href=\"https:\/\/www.dailymail.co.uk\/sciencetech\/article-9068299\/Alarmingly-high-proportion-British-people-vitamin-D-deficient.html\" rel=\"noopener\">Vitamin D deficiency is widespread \u2013 in part due to the good old British weather.<\/a> \u2018Nearly half of the UK population has suboptimal vitamin D levels,\u2019 says Dr Lee, and women have slightly lower levels than men. The NHS recommends all adults take a 400 IU (10 mcg) supplement daily from October to March.<\/p>\n<p class=\"mol-para-with-font\">Other important nutrients include:<\/p>\n<ul class=\"mol-bullets-with-font\">\n<li class=\"class\">Folic acid \u2013 essential for anyone planning pregnancy (400 mcg daily)<\/li>\n<li class=\"class\">Vitamin B12 \u2013 important for vegans and vegetarians, who may also need an iodine supplement<\/li>\n<\/ul>\n<p class=\"mol-para-with-font\">However, Dr Lee warns against taking iron \u2018just in case\u2019. \u2018Women should not take iron unless they have been diagnosed as deficient,\u2019 she says, as it\u2019s hard for the body to metabolise. Excess iron can build up and become harmful.<\/p>\n<p>How much of winter tiredness is linked to mood changes or Seasonal Affective Disorder (SAD)?<\/p>\n<p class=\"mol-para-with-font\">\u2018Much winter fatigue is due to SAD,\u2019 Dr Lee confirms. The spectrum ranges from mild winter blues to significant depression. Around 35% of the UK experience some form of mood change during winter.<\/p>\n<p>What role do hormones play?   <img decoding=\"async\" id=\"i-853b785d79c32fba\" src=\"https:\/\/www.europesays.com\/uk\/wp-content\/uploads\/2025\/11\/103848141-15287529-image-a-11_1763035815525.jpg\" height=\"423\" width=\"634\" alt=\"\" class=\"blkBorder img-share\" style=\"max-width:100%\" loading=\"lazy\" \/>   <\/p>\n<p class=\"mol-para-with-font\">Hormonal shifts make women particularly vulnerable to tiredness, and this can intensify during certain stages of life.<\/p>\n<p class=\"mol-para-with-font\">\u2018At perimenopause, oestrogen levels can fall by up to 90%,\u2019 Dr Lee explains. Oestrogen is crucial for producing serotonin and melatonin \u2013 so low levels can trigger low mood, poor sleep and reduced energy.<\/p>\n<p class=\"mol-para-with-font\">Hot flushes and night sweats disrupt sleep further, and given 80% of women report experiencing them, it\u2019s no wonder we\u2019re all exhausted. Falling progesterone levels can also cause anxiety and restlessness by reducing GABA \u2013 the brain\u2019s calming chemical \u2013 making it harder to sleep.<\/p>\n<p class=\"mol-para-with-font\">Low oestrogen can also impair cognition. \u2018This is sometimes called brain fog,\u2019 Dr Lee notes, and can make you feel as if you\u2019re mentally exhausted.<\/p>\n<p>Which lifestyle changes help improve energy levels?<\/p>\n<p class=\"mol-para-with-font\">According to Dr Lee, the good news is even small tweaks can make a noticeable difference to your energy levels.<\/p>\n<p class=\"mol-para-with-font\">\u2018Exercise stimulates circulation and oxygen flow,\u2019 she says, \u2018and activates the mitochondria \u2013 the body\u2019s energy factories.\u2019 Even a 10\u201315-minute walk once or twice a day can help.<\/p>\n<p class=\"mol-para-with-font\">\u2018Losing weight will also make you feel less tired,\u2019 she advises. On a basic level, your body is less heavy to carry around and your heart is under less strain in a smaller, lighter body. \u2018When you lose one pound of fat, you take four pounds off your knees and seven pounds off your spine!\u2019 Dr Lee adds. Losing weight also improves mental health, and when you feel happier in yourself, you will find you have more energy.<\/p>\n<p class=\"mol-para-with-font\">\u2018Many of us are under immense stress,\u2019 says Dr Lee. Knowing how to relax can help improve sleep quality. She recommends mindfulness, meditation, the 4-7-8 breathing technique and CBT. NHS Talking Therapies also offers free self-referral.<\/p>\n","protected":false},"excerpt":{"rendered":"When the clocks go back, I immediately feel tired. I\u2019ve always put it down to darker, shorter days,&hellip;\n","protected":false},"author":2,"featured_media":568326,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[92,105,388,169252,211,16,15],"class_list":{"0":"post-568325","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health","8":"tag-dailymail","9":"tag-health","10":"tag-lifestyle","11":"tag-lifestylefitnesswellbeing","12":"tag-nhs","13":"tag-uk","14":"tag-united-kingdom"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@uk\/115544230170086762","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts\/568325","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/comments?post=568325"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts\/568325\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/media\/568326"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/media?parent=568325"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/categories?post=568325"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/tags?post=568325"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}