Dizziness and Fatigue in Women: Causes and Solutions - Obstetrics and Gynecology

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My girlfriend has been experiencing frequent dizziness and fatigue lately?


Hello, Doctor! I have a question on behalf of my girlfriend.
Recently, she has been feeling very dizzy, whether standing or sitting, and I am quite worried about her health.
About a month ago, she started working at a factory with good benefits, but there was a condition that during the 40-day probation period, she must comply with overtime and shift schedules.
She works from 8 AM to 9:30 PM every day, and she often goes to bed late, around 1 to 2 AM.
This past Tuesday, she started her menstrual cycle, but during her breaks at work, she frequently calls to say she feels dizzy, as if the ground is shaking.
Even after getting home from work, she still feels dizzy.
This symptom has persisted from Tuesday (August 2) to today, Friday (August 5), and it has been three days with no improvement.
Therefore, I would like to ask the doctor, besides advising her to rest more, should she consider dietary supplements? What can be done to help her improve her condition?

Zhang, 20~29 year old female. Ask Date: 2011/08/05

Dr. Zhong Wenzhen reply Obstetrics and Gynecology


Hello, ma'am: Thank you for your inquiry.
I would like to respond to your question and provide the following suggestions: Your girlfriend's issues may include physical weakness (blood tests and blood pressure), anemia (blood tests), or conditions such as a cold, pregnancy, or Ménière's disease, which should be evaluated by a specialist.
It is recommended to consult a gynecologist first.

Reply Date: 2011/08/05

More Info


Dizziness and fatigue can be concerning symptoms, especially when they persist over time. Your girlfriend's situation, where she experiences dizziness both while standing and sitting, combined with her demanding work schedule, raises several potential health issues that should be addressed.

Firstly, it’s essential to consider the impact of her work hours and sleep patterns. Working from 8 AM to 9:30 PM, coupled with late nights, can lead to significant fatigue and sleep deprivation. Lack of adequate sleep can impair cognitive function, lead to dizziness, and exacerbate feelings of fatigue. Sleep is crucial for overall health, and chronic sleep deprivation can lead to a range of health issues, including hormonal imbalances and increased stress levels.

Additionally, the timing of her symptoms coinciding with her menstrual cycle (MC) could indicate that hormonal changes are also playing a role. Many women experience a variety of symptoms during their menstrual cycle, including fatigue, dizziness, and mood changes. These symptoms can be exacerbated by stress and lack of sleep.
Another factor to consider is hydration and nutrition. If she is not eating properly or staying hydrated during her long work hours, this could contribute to her dizziness. Dehydration can lead to low blood pressure, which may cause dizziness, especially when standing up. Encouraging her to drink plenty of fluids and eat balanced meals throughout the day is crucial. Foods rich in iron, such as leafy greens, beans, and lean meats, can help if fatigue is related to low iron levels, which is common in women, especially during menstruation.

Stress is another significant factor that can contribute to both dizziness and fatigue. The pressure of a new job, combined with long hours and irregular sleep, can lead to increased stress levels. Stress management techniques, such as mindfulness, meditation, or even light exercise, can be beneficial in alleviating some of these symptoms.

Given the persistence of her symptoms, it would be wise for her to consult a healthcare professional. A thorough evaluation can help rule out any underlying medical conditions that could be causing her dizziness and fatigue. This may include checking for anemia, thyroid issues, or other hormonal imbalances. A healthcare provider may also recommend blood tests to assess her overall health and identify any deficiencies.

In summary, while encouraging your girlfriend to rest and improve her sleep hygiene is essential, it is equally important to address her nutrition, hydration, and stress levels. If her symptoms persist, seeking medical advice is crucial to ensure that there are no underlying health issues that need to be addressed. Taking a holistic approach to her health can help improve her overall well-being and alleviate her symptoms.

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