Key TakeawaysExperts say that it’s common for people to experience symptoms like bloating, fatigue, and even exhaustion in the days leading up to their period and throughout their menstrual cycles.People who have heavy bleeding during their period can have low red blood cell counts, which can cause symptoms like tiredness or weakness.Exercising consistently when you’re on your period can help relieve pain and cramping, improve your mood, and regulate blood flow.

Key Takeaways

Experts say that it’s common for people to experience symptoms like bloating, fatigue, and even exhaustion in the days leading up to their period and throughout their menstrual cycles.People who have heavy bleeding during their period can have low red blood cell counts, which can cause symptoms like tiredness or weakness.Exercising consistently when you’re on your period can help relieve pain and cramping, improve your mood, and regulate blood flow.

If you feel really tired and even physically weaker when you’re on your period, it’s not just all in your head.

Menstrual symptomslike cramps, bloating, mood changes, and headaches, aren’t the only things that can make you feel worn out—there are actually a few reasons why your period can be exhausting for your body and mind.

Here’s what experts say about why your energy levels tank during your period and what you can do to feel better.

How Your Menstrual Cycle Works

Period Blood Loss Can Make You Tired

G Thomas Ruiz, MD, OB/GYN Lead at MemorialCare Orange Coast Medical Center in Fountain Valley, California, told Verywell that how tired or weak you feel on your period partly depends on how much blood you lose while you’re menstruating.

On average, a person loses between 30 and 44 milliliters—or about two to three tablespoons—of blood during their period. However, some people lose more.

According to Ruiz, people who experience more than 80 milliliters of blood loss per month orheavy blood flowcan become anemic. A person with anemia does not have enough healthy red blood cells to carry oxygen to their body’s tissues and organs. As a result,iron levels in the bloodget lower, and this can cause symptoms of tiredness or weakness.

Becoming anemic during a menstrual cycle is not a long-term medical concern, butCristin Hackel, MSN, ARNP, Medical Director,NurxGYN Services, told Verywell that it can make a person feel more “fatigued and unable to do what they normally can do in a workout” or during other activities.

However, Hackel noted that a person’s iron levels typically return to normal within a few days after bleeding stops.

Is Your Period Making You Anemic?

You May Not Sleep Well During Your Period

Jennifer Wu, MD, OB/GYN at Lenox Hill Hospital in New York, told Verywell that a lot of her patients cite cramps and discomfort as the reasons they can’t sleep.

Beyond a heavy blood flow and poor sleep, Ruiz added that stress,changes in eating habits,frequent urination, and other medical conditions likeuterine fibroidscan cause physical weakness and exhaustion during your period, too.

Can Periods Cause Night Sweats?

Tired On Your Period? Get Moving!

When you’re on your period, exercise might be the last thing you feel like doing, but experts say that a workout can help ease PMS symptoms.

According to Ruiz, one of the major advantages of working out during your cycle is that it can help withcrampsand pain. People who work out frequently or intensely will circulate moreendorphinsthroughout their workout, which function as a sort of pain killer.

G Thomas Ruiz, MDThere’s not really an exercise that you can point to that’s better than the other, it’s just about finding the one you like.

G Thomas Ruiz, MD

There’s not really an exercise that you can point to that’s better than the other, it’s just about finding the one you like.

Regular exercise can also help you maintain a body weight that’s right for you, which is important forregulating menstrual flow.

“Athletes often have very light flows because of their body fat,” Wu said. “Patients that have a lowerbody fat percentagedo tend to have lighter menses.”

How Does Exercise Affect Your Period?

What Type of Exercise Is Best During Your Period?

It’s OK to continue your regular exercise routine during your period.

“Finding things that you want to do and enjoy will keep you working out and doing that exercise,” said Ruiz. “There’s not really an exercise that you can point to that’s better than the other; it’s just about finding the one you like.”

How to Make Working Out During Your Period Better

If you plan to exercise or just want to feel more at ease and comfortable during your period, Ruiz recommends choosing a menstrual product that suits your needs.

Consider swapping out pads for period underwear, tampons, or menstrual cups to allow for easier movement.

Jennifer Wu, MDYour period should not interfere with your daily life.

Jennifer Wu, MD

Your period should not interfere with your daily life.

Wu added that people can consider taking a pain reliever like ibuprofen to help withpainful crampsor other symptoms such as a headache.

People who have medium or heavy flows may want to talk with their healthcare provider about the use of hormonal contraception likebirth control pillsorhormonal IUDs.

“These options can give you a much lighter, regular and less painful flow, improve the quality of your periods, and improve your workouts during that time,” Wu said.

If you find that period-related symptoms, including tiredness or weakness, interfere with your day-to-day life, Wu recommends talking to your provider.

“Your period should not interfere with your daily life,” said Wu. “We need to do something about it if your flow is so heavy that you can’t exercise on certain days or can’t really go anywhere because you need to be close to the toilet. When your period is altering your life that much, then you should talk to your doctor about possible solutions.”

What This Means For YouPMS symptoms like cramps, moodiness, and fatigue are common. If you get more run down than usual during your menstrual cycle, exercise and prioritizing quality sleep can be helpful.However, know that wny period symptoms—whether physical health or mental health-related—that get in the way of you going about your daily life are a reason to talk to your provider.

What This Means For You

PMS symptoms like cramps, moodiness, and fatigue are common. If you get more run down than usual during your menstrual cycle, exercise and prioritizing quality sleep can be helpful.However, know that wny period symptoms—whether physical health or mental health-related—that get in the way of you going about your daily life are a reason to talk to your provider.

PMS symptoms like cramps, moodiness, and fatigue are common. If you get more run down than usual during your menstrual cycle, exercise and prioritizing quality sleep can be helpful.

However, know that wny period symptoms—whether physical health or mental health-related—that get in the way of you going about your daily life are a reason to talk to your provider.

What Is “Period Flu?”

3 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Eunice Kennedy Shriver National Institute of Child Health and Human Development.What are the symptoms of menstruation?.Centers for Disease Control and Prevention.Heavy menstrual bleeding.National Institutes of Health.What is anemia?.

3 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Eunice Kennedy Shriver National Institute of Child Health and Human Development.What are the symptoms of menstruation?.Centers for Disease Control and Prevention.Heavy menstrual bleeding.National Institutes of Health.What is anemia?.

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Eunice Kennedy Shriver National Institute of Child Health and Human Development.What are the symptoms of menstruation?.Centers for Disease Control and Prevention.Heavy menstrual bleeding.National Institutes of Health.What is anemia?.

Eunice Kennedy Shriver National Institute of Child Health and Human Development.What are the symptoms of menstruation?.

Centers for Disease Control and Prevention.Heavy menstrual bleeding.

National Institutes of Health.What is anemia?.

Meet Our Medical Expert Board

Share Feedback

Was this page helpful?Thanks for your feedback!What is your feedback?OtherHelpfulReport an ErrorSubmit

Was this page helpful?

Thanks for your feedback!

What is your feedback?OtherHelpfulReport an ErrorSubmit

What is your feedback?