Ginet 84 (cyproterone acetate and ethanol estradiol) is unlikely yo be the cause for our tiredness. Ginet 84 can cause altered mood and alter physical activity but not likely to cause physical tiredness as described above. I would have recommended a complete blood count including haemoglobin measurements for my patient to rule out anaemia initially. If haemoglobin is under normal range, other investigations may be required. If anaemia is the cause for tiredness, iron supplements can be prescribed. I hope the above information helps you. Thanks for writing into heathcaremagic. Have a wonderful day.