Strength Training in Perimenopause
Strength Training in Perimenopause: What Actually Matters (and What Doesn’t)

Its no secret that I LOVE strength training, both personally and for my clients. It is important for all women, at all life stages but especially during perimenopause when we start losing our muscle mass which leads to all sorts of metabolic and structural issues down the line.
However, perimenopause has a way of making women question things that used to feel straightforward—training included. Lifts that once felt solid may feel heavier. Recovery can feel less predictable. Power might come and go. And if you’ve spent any time online, you’ve probably been told this is because your hormones are “broken” and your training needs to be completely overhauled.
That narrative is incomplete at best—and actively unhelpful at worst.
Strength training remains one of the most powerful tools we have during perimenopause, but the how matters more than ever. Not because women suddenly become fragile, but because physiology, recovery, and context deserve a smarter approach than rigid rules or fear-based prescriptions.
Women Don’t Train Like Small Men—and Never Have
Women have always responded differently to resistance training than men. On average, we’re more resistant to fatigue, recover more quickly between sets, and can often tolerate higher total training volumes. That’s not a flaw—it’s a benefit!
At the same time, increases in muscle size can come more slowly. Differences in muscle fiber behavior and anabolic signaling play a role, and inadequate fueling only magnifies that effect. When calories, protein, or carbohydrates are too low - something I often see with my clients - strength gains stall and recovery suffers, regardless of how “perfect” the program looks on paper.
None of this is new. What is new is how these realities intersect with hormonal change.
Hormones Matter—Just Not the Way Social Media Suggests
Oestrogen plays an important role in muscle repair, connective tissue health, and neuromuscular coordination. This helps explain why many women feel more powerful or coordinated at certain times, and why the gradual decline of oestrogen during perimenopause often coincides with drops in power output and a rise in tendon or soft tissue complaints.
But here’s the part that gets lost online: responses are highly individual.
Some women feel dramatic shifts. Others notice very little. And most experience fluctuations that don’t follow a neat calendar pattern. That’s why the old approach—prescribing training intensity strictly based on cycle phase—has fallen out of favor.
Current best practice isn’t about training “by the calendar.” It’s about autoregulation: using real-time feedback from performance, recovery, sleep, soreness, and symptoms to decide when to push and when to back off. Fixed hormonal rules aren’t supported by the evidence—and they don’t reflect how women actually experience training during perimenopause.
Why Strength Training Becomes Even More Important
As oestrogen declines, resistance training isn’t something to soften or replace—it’s something to prioritize.
Heavy loading helps preserve muscle quality and bone density. Explosive and high-velocity work supports power, coordination, and fall prevention. When intelligently progressed and adequately fueled, these training qualities are protective, not risky.
Avoiding load out of fear doesn’t prevent injury—it accelerates deconditioning.
The goal isn’t to train like you’re 25 forever. It’s to train in a way that supports strength, resilience, and independence for decades to come.
The Real Goal: Strategic, Not Dogmatic, Programming
The best strength plan for women—especially during perimenopause—isn’t about locking into one rep range, one method, or one hormonal theory.
It’s about:
- Managing load and volume over time
- Respecting recovery without under-challenging capacity
- Fueling training appropriately
- Adjusting based on feedback, not guilt or rigid rules
Strength training during perimenopause isn’t about fighting your body. It’s about working with it—strategically, intelligently, and with a long view toward health and performance.
Coming up in next week's blog
- how nutrition can support your strength training goals and help you maximise your gains.
The Oxford Clinic for Nutrition
24 Barley Close, WallingfordUnited Kingdom











