Perimenopausal Exercise Guideance

As a former athlete, I have always enjoyed exercise. It has been a part of who I am and makes me feel happy. With that being said, over the decades I have succumbed to injuries, surgeries and thus needed to greatly reduce the way I work out. As I continued to age and my body entering a different stage in life, I found that my recovery and stamina, despite my baseline fit level, had greatly changed. I was finding that higher intensity exercise wasn't what MY BODY wanted, despite what fueled by mind cravings. 

With age I have acquired some wisdom with listening to my body and what she tells me. Understanding that although I am in control, I need to be attuned to the changes of my body and learn how to remain in optimal health with modifying my routines to support my metabolic/hormonal health, mood balance, bone strength, and stress regulation. For the perimenopausal woman this is essential in understanding our changes and ensuring we adjust to the new flow and new normal so we can protect our heart health and overall health. 

So to my ladies out there! Do not get frustrated with your body changes, you can still be amazing with your work outs and look and feel great, you just may need some modifications. 

I have had several patients with high intensity exercise feel they need to meet those high intensity requirements to maintain a healthy weight, but their recovery time is longer and thus they are missing days they are moving due to how "hard" they are hitting on their other work outs. Here are some suggestions you may feel comfortable about adding to your monthly routine. 

Remember, the goal here is to optimize in our new normal state, therefore the goals are:

  • Hormone balance (especially estrogen/progesterone shifts)

  • Building lean muscle to support metabolism

  • Supporting bone density

  • Nervous system regulation

  • Avoiding overtraining & cortisol spikes (leads to Adrenal Fatigue, androgen shifts and weight gain/fatigue/brain fog/insomnia/irritability/anxiety/depression)

THINGS TO TRY TO AVOID:

Mistake Why It Backfires
Excessive HIIT Spikes cortisol, worsens belly fat
Daily intense workouts No time for hormonal recovery
Ignoring strength training Muscle and bone loss accelerates
Not eating enough protein Slows recovery and metabolism
 
 
Things To Try:

1. Strength Training (2x/week minimum)

Builds lean muscle, protects bone density, and supports metabolic rate.

  •  Compound lifts (squats, lunges, deadlifts)
  • Resistance bands, dumbbells, or bodyweight- You do not need to power lift. 

  • 2–3 sets of 8–12 reps- Remember lower weights higher reps, or moderate to higher weights lower reps. 

*Note when your estrogen declines your bone and muscle health declines at an accelerated pace. Lifting weights puts good stress on your bones, also helps with testosterone, and cortisol stability too!

2. Low-Impact Cardio (Calling all Runners- Hi that was me!!)

Supports heart health, blood sugar control, and stress relief without overloading the adrenals. 

  • Bike
  • Walking
  • Elliptical
  • Dance
  • Swimming

I still run but not like I used too, my body said she didn't like it as much anymore and I am looking to preserve longevity with my joints and muscles. 

GOAL: 3-4 times per week for 30-45 minutes

3. Mobility, Stretching, & Core Work

Helps reduce joint pain, improve posture, and support the pelvic floor.

  •  Barre
  • Pilates
  • Yoga
  • Stability training with your own body weight

4. Nervous System Support

Perimenopause increases stress sensitivity. Mind-body work helps calm cortisol and balance your hormones.

  • Reiki Therapy
  • Meditation
  • Breath Work (Simulates Vagus Nerve- 10 minutes a day helps calm your nervous system)
  • Mindfulness and setting intentions- personal, mental and physical (to include intentional mindful eating)

5. Rest & Recovery - Not going to lie, my favorite. 

Overtraining can raise cortisol and make symptoms (hot flashes, fatigue, weight gain) worse. Rest is essential.

Prioritize:

  • 1–2 rest days/week

  • 7–8 hours of quality sleep

  • Active recovery: gentle stretching, walking, or foam rolling

Feed and fuel your body. If you need help about recovery, safe supplementation and diet please reach out!

You got this!

Katie