I used to beat myself up with that stick!
I returned to my teaching career after having my children, but only managed a year full time. I remember being so very very exhausted all the time. I couldn't wait for the children to go to bed, so I could do my paperwork and get to bed myself. The headteacher called me in and asked where the lovely teacher she had appointed had gone. We decided on an end date, but she wouldn't let me leave on a low. It was obvious I couldn't cope physically. With the end date, I was able to throw my all into teaching my lovely children.
DH was not happy with my working either, though he didn't share the housework. He didn't want me putting myself through that. He took me to the doctors, who was quite blunt. I worked part time from then on, but once into my late 40s, I struggled with even that. By my 50s, more extreme exhaustion set in and I needed a couple of days to recover from a days work. Retirement was not a decision; it crept up on me.
But we payed a huge cost financially. DH had a steady job and we survived. But I felt guilty and cheated of the career I had planned. I often wonder what would have happened if I had no choice to work for whatever reason. I was fortunate. I suspect I would have become very ill.
I salute those who have to work, while suffering from menopausal symptoms. Of course, some women do not suffer with symptoms.