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Best Workouts for Perimenopause Beginners

Starting exercise during perimenopause is one of the best things you can do. Here are the best beginner workouts, what to prioritize first, and how to start without injury.

8 min readFebruary 27, 2026

Why Starting Now Matters More Than You Think

If you have not exercised consistently in years, perimenopause might feel like the wrong time to start. Your body is changing, your energy is unpredictable, and the idea of walking into a gym can feel intimidating. But this is actually one of the most important windows in your life to begin.

During perimenopause, muscle mass begins declining faster than at any previous stage. Insulin sensitivity decreases. Bone density starts shifting. Exercise is one of the most direct levers you have to influence all three of these things. Starting at 45 or 50 is not too late. Research consistently shows that older adults, including those beginning in midlife, build muscle and improve metabolic health from strength training.

The goal right now is not to get fit the way you were at 30. It is to build a foundation that protects your health through menopause and into the decades after.

Start Here: Walking Is Not a Consolation Prize

If you are truly starting from zero, daily walking is your foundation. Not because it is easy but because it is sustainable. Consistency over months matters more than intensity in any single session. A 30-minute walk every day will do more than a brutal workout once a week that leaves you sore and reluctant to go back.

Walking provides cardiovascular benefit, mood support through endorphin release, and modest bone loading in the hips and spine. It also builds the habit of moving daily, which is the actual first milestone.

Start with whatever duration feels manageable and is not leaving you wiped out the next day. Twenty minutes is a perfectly valid starting point. Add five minutes every week or two. Once you are walking 30 to 45 minutes with ease, you have built a base and can begin layering in other types of movement.

Strength Training: The Priority That Often Gets Skipped

Here is the honest metabolic reality of perimenopause: cardiovascular exercise alone is not enough. Muscle is metabolically active tissue. Every pound of it burns more calories at rest than fat does. As muscle declines with age and hormonal change, your resting metabolic rate declines with it. Strength training is the primary tool for maintaining and building muscle.

For beginners, bodyweight exercises at home are a completely sufficient starting point. Squats, glute bridges, push-ups (modified on knees is fine), and rows with a resistance band or household item form a functional full-body routine. You do not need a gym membership to start.

Aim for two days per week with a rest day in between. Two sessions weekly is enough to see real muscle-building results in the first three months if you are consistent. Three is better. Four is more than needed for a beginner and increases injury risk.

YouTube and App-Based Yoga and Pilates

Yoga and Pilates are underrated starting points for women who have been sedentary for a while. They build strength through bodyweight, improve flexibility and balance, and have an exceptionally low injury risk. The mind-body component also directly addresses the stress and cortisol elevation that is common in perimenopause.

Free YouTube channels specifically designed for beginners and for midlife women have expanded significantly. You can start with a 20-minute beginner yoga session in your living room without equipment and work through progressively longer and more challenging classes over time.

Pilates in particular is well-suited to perimenopause because it emphasizes core stability, pelvic floor engagement, and joint-friendly resistance through controlled movement. Studio reformer classes are excellent if accessible, but mat Pilates at home through free or low-cost apps is a legitimate option.

What to Prioritize First If You Can Only Do One Thing

If your time or energy is genuinely limited, prioritize strength over cardio. This is counterintuitive to most people who grew up believing that cardio is the key to health. But for perimenopausal women specifically, preserving muscle mass has more impact on metabolic health, weight, bone density, and long-term function than the same amount of time spent on cardio.

This does not mean skip walking. Walking is low-cost and easy to layer into your day as incidental movement. The point is that if you have 30 to 45 minutes three times a week and you have to choose, spend it on resistance work. Add walking as a separate daily habit that does not compete with that time.

A simple beginner strength session takes 25 to 30 minutes and includes a warmup (5 minutes of mobility or gentle movement), three to four exercises (squat, hinge, push, pull), and a cooldown. That is it. You do not need an hour.

How to Start Without Getting Injured

Injury is the primary reason beginners stop exercising. One overenthusiastic session leads to knee pain or a pulled muscle, and then weeks of recovery erode the habit before it is formed. Starting conservatively is not timid. It is smart.

Begin at a difficulty level that feels almost too easy. Bodyweight squats with no added load. Wall push-ups. Glute bridges on the floor. The first two weeks are about learning movement patterns, not building fitness. Your nervous system and connective tissue need time to adapt, even if your cardiovascular system could handle more.

Progress slowly. Add weight or resistance only when the current level feels genuinely easy for all your repetitions with good form. A small increase every two to three weeks is sustainable. Larger jumps are where injuries happen. If something hurts specifically in a joint (not generalized muscle fatigue), stop and assess before pushing through.

What Three Months of Consistency Looks Like

In the first month, expect soreness. This is normal and does not mean damage. It will lessen significantly by week three or four as your body adapts. You may not see visible changes yet, but your strength is increasing.

By month two, most beginners notice everyday tasks feel easier. Climbing stairs, carrying groceries, getting up from the floor. These functional changes happen before visible body composition changes. Sleep often improves as exercise begins to regulate cortisol and deepens physical tiredness.

By month three, you will likely be ready to progress: adding weight, trying a more structured program, or adding a third session per week. Many women find the habit has genuinely taken hold by this point, and the question shifts from how to start to how to keep advancing. PeriPlan lets you log your workouts so you can track your consistency and see your progress build over time.

This content is for informational purposes only and does not replace medical advice. Always consult your healthcare provider about your specific situation.

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Medical disclaimerThis content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. PeriPlan is not a substitute for professional medical advice. If you are experiencing severe or concerning symptoms, please contact your doctor or emergency services immediately.

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