As personal trainers, we encounter a wide range of clients, each presenting unique challenges and opportunities, including menopausal women. This is a particularly important demographic that deserves serious attention and understanding. The transformative period of peri-menopause and menopause in a woman’s life is characterized by significant physiological changes that can impact not only their health but also their fitness goals and training. Here we discuss the specific needs of menopausal women within the context of personal training.

What are Peri-Menopause and Menopause?

The first thing to understand is the science of menopause. Menopause marks the end of a woman’s menstrual cycle and is typically diagnosed after a woman has gone 12 months without a menstrual period. Peri-menopause is the transitional period leading up to menopause, usually occurring several years, sometimes a decade, beforehand. Hormonal changes during this period can cause various physical and emotional symptoms, such as hot flashes, night sweats, mood swings, and weight gain.

A significant shift in hormonal balance, primarily a decrease in estrogen, affects muscle mass, bone density, metabolism, and cardiovascular health. This underscores the critical role of a tailored fitness regimen in managing these changes effectively and enhancing a woman’s quality of life.

Strength Training Menopausal Women

Strength training is paramount for everyone, but especially women in this demographic. With the decline in estrogen levels, women become more susceptible to osteoporosis. Weight-bearing and resistance exercises can help increase bone density, mitigate muscle loss, and boost metabolism. These exercises should focus on major muscle groups and incorporate functional movements to help with everyday activities.

Cardiovascular Fitness

The risk of cardiovascular disease also increases after menopause. Regular cardiovascular exercise is a must, but the type and intensity may need to be adjusted. High-intensity interval training (HIIT) can be an efficient method to improve cardiovascular health and manage weight, but be mindful of the client’s current fitness level and potential joint issues. Lower-impact cardio activities, such as swimming, cycling, or brisk walking, may be more suitable for some women. Just don’t feed into a client’s misconception that vigorous daily cardio without weight training is the way to curtail her weight; it should not be the star of the show.

Flexibility and Balance

Joint stiffness and decreased flexibility can be common issues during peri-menopause and menopause. Integrating flexibility and balance exercises into the training program can alleviate these issues and prevent injuries. Yoga and Pilates are excellent choices that promote flexibility, core strength, and balance.


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Mental Health

Never underestimate the power of exercise in supporting mental health. Many women experience increased stress, anxiety, and depressive symptoms during this period. Regular physical activity can help improve mood and sleep, reducing these symptoms. Offering sessions that integrate mindfulness, like yoga or tai chi, can provide an added layer of mental health support.


While not all personal trainers are nutritionists or are permitted to create meal plans, having a basic understanding of nutritional needs during this period is more than beneficial. Weight gain is common during menopause due to slowed metabolism and changes in body composition. A diet high in lean protein, fruits, vegetables, and whole grains, along with regular exercise, can help manage weight and promote overall health. 

Individual Approach to Training Menopausal Women

Remember, menopause affects every woman differently. Stay flexible in your approach, continuously monitor your client’s comfort and progress, and adjust the training program accordingly. Always encourage open communication. Let your clients know that what they’re experiencing is normal and that they’re not alone.

Understanding the unique needs and challenges of peri-menopausal and menopausal women allows us, as personal trainers, to provide supportive and effective training regimes.

By tailoring workouts to manage the physical changes and challenges that arise during this phase, we can ensure our clients stay active, healthy, and strong, and continue to enjoy an excellent quality of life.

Training peri-menopausal and menopausal women may require a shift in focus, but the core of our profession remains the same: promoting fitness and well-being for every stage of life.


If you’d like to learn more – check out this Menopause Fitness Certification

Jono Petrohilos

Jono is the Co Founder and Director at Fitness Education Online, one of the largest providers of online CEC courses for Fitness Professionals. Jono has been in the industry since 2009 and also a best selling author, a podcast host and a winner of the Fitness Australia Educator of The Year Award.. Fitness Education Online also have one of the largest Facebook Groups in the world for Fitness Professionals with over 15,000 members click here to join.