Hello,
You must have an Ob-gyn examination. There are so many disease that can occur at this stage. You also need to get a bone densitometry test done to see for oeteoporosis - this could be the reason for the pain all over the body.
And you definitely need to be tested for the hemoglbin level - this is one of the commonest causes of chronic fatigue.
Also, in early menopause, the deficiency of estrogen is bound to make you feel tired as the body has yet to get completely used to the lack of estrogen. You can try increasing the amount of soya beans or soya products you eat. Also increase your calcium intake - at your age you need at least 1000 mg ofcalcium daily. A standard 200ml glass of skimmed cow's milk contains 350-400mg of calcium.
I hope this helps.
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Experienced in the management of Pregnancy,Infertility,Menopause and all problems in Pregnancy and Gynecology