I am 46. I definitely do not have the energy I had at 25 but I am not completely done in and am able to walk/jog most mornings.

I would actually go to your PCP first for a regular bloodwork appt. including your iron panel, B vitamins, and vitamin D b/c you are so tired; get a metabolic panel. Then, if all that checks out, head to your gynecologist. It's good to get regular checkups at the gyn. anyway. You can get your hormone levels checked if nothing turns up at the PCP.

That being said, it sounds like you have a TON of stress in your life right now. That would do anyone in. If I had that much going on, I'd just be wiped out. Stess can do a number on our bodies.