However, the combination of a full-time job and a family are, to me, a more compelling explanation. Most men and women who hold down jobs outside the home are tired enough when they return home, without the additional responsibility of a family with all the typical chores and problems. Therefore, perhaps your exhaustion might be lessened if you were to obtain some help at home, either from a considerate husband or from a care-giver. Of course, your doctor was correct in checking you for treatable metabolic causes of fatigue. In order to test the contraceptive-pill theory, discontinue the medication for a month or two to see if you notice any improvement in your energy level.
Chronic fatigue is often a medical challenge because there are no definitive tests for it.
And it is becoming more of a problem as many mothers have committed to the delicate balancing act of managing a family AND forging a career outside the home.