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How to thrive in perimenopause

Hormone Health 101: Thriving Through Perimenopause

October 13, 20252 min read

Growing up I was aware of menopause but it seemed like something our grandmothers experienced and it certainly felt like something that would happen when I was old. The reality is that the time before menopause - perimenopause - can last up to 10 years and can wreak havoc if left ignored. I’m not a grandmother and I certainly don’t consider myself to be old, but I am in perimenopause.

Here’s how supporting your body as you head toward menopause (whether that be this month, this year or this decade) can create the right conditions for you to thrive through the time of transition.

Understanding Perimenopause

During perimenopause our hormones are fluctuating. This can start in your 40s (sometimes earlier) and last several years. Periods may become irregular, and you might notice changes in sleep, mood, energy, and metabolism.

Support your body during this time will help balance your hormones and manage your symptoms.

Nutrition That Supports Hormonal Balance

Your body needs the right building blocks to make and metabolise hormones efficiently. Focus on:

  • Protein: Supports hormone production and preserves muscle mass.

  • Healthy fats: Essential for hormone synthesis.

  • Micronutrients: Support hormone balance, bone health, and energy.

  • Phytoestrogens: Plant compounds can gently support oestrogen levels.

Tip: Small, consistent changes often work better than drastic dietary overhauls.

Movement for Strength, Metabolism, and Mood

Exercise helps manage weight, supports heart and bone health, and even stabilises mood. A well-rounded routine might include:

  • Strength training: Preserves muscle and bone density.

  • Cardiovascular activity: For heart and lung health.

  • Mind-body movement: Reduces stress and supports flexibility.

Prioritise Stress Management

High stress affects cortisol, which can disrupt hormone balance and worsen perimenopausal symptoms like sleep disturbances and mood swings. Try:

  • Daily mindfulness or breathing exercises.

  • Journaling to process thoughts and emotions.

  • Gentle nature walks or low-impact movement that feels restorative.

Sleep and Recovery

Hormone fluctuations often impact sleep. Supporting restorative rest is essential:

  • Maintain a consistent sleep routine.

  • Limit screens 1–2 hours before bed.

  • Keep your bedroom cool, dark, and quiet.

  • Consider magnesium or calming herbal teas (like chamomile) to support relaxation.

Lifestyle Choices Matter

Small choices can have a big impact over time:

  • Avoid smoking and limit alcohol.

  • Stay hydrated.

  • Schedule regular check-ups to monitor bone density, heart health, and hormone changes.

Supporting your body with good nutrition, movement, stress management, and healthy lifestyle habits during perimenopause gives you the best chance of moving through it with energy and ease.

Grab my free Happy Hormones Challenge for 10 days of action to help you feel more calm, clear headed and like yourself as you move through this time of transition. Happy hormones will enable you to thrive!


blog author image

Louise Mathwin

Louise is a nutritionist and lifestyle engineer - helping women create a life they love through nutrition and lifestyle wellness habits.

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