Menopause, strength, and how your body functions

During perimenopause and menopause, hormonal changes affect how the body maintains muscle strength and physical function. These changes can impact:

  • muscle mass and strength
  • bone density
  • joint support and stability
  • energy levels and recovery
  • your ability to complete everyday activities.

This isn’t your fault or the result of anything you’ve done.

As oestrogen levels drop, your muscle strength declines more quickly. This can lead to a noticeable loss of muscle size, strength and overall function.

Without strength training, muscle loss can progress more quickly, affecting not just how you feel today, but your long-term health and independence.


Why medical strength training matters during perimenopause, menopause and after

Medical strength training directly addresses some of the key physical changes that occur during menopause.

Protects bone density
Maintaining bone mass is critical for reducing the risk of osteoporosis during perimenopause, menopause and post-menopause.

Slows muscle loss
As your oestrogen levels drop, your muscle loss can accelerate. Medical strength training helps preserve muscle and physical capacity.

Reduces fall risk
Stronger muscles improve balance, reaction time and confidence in your everyday movements, reducing the risk of falls.

This is not about fitness or appearance.
It’s about function, resilience and long-term health.

Medical strength training, delivered by health professionals

Kieser is not a gym. Our medical strength training is:

  • physiotherapy-led
  • exercise physiology-led
  • supervised by qualified professionals, including exercise scientists
  • individually tailored based on assessment and health history
  • delivered using Kieser’s specialised strength training machines.

All it takes is two focused 30-minute sessions per week to support strength, function and long-term health.

Common misconceptions about menopause

‘I walk regularly. Isn’t that enough?’

Walking is beneficial for general health, but it does not help you maintain muscle mass or strength. 

‘Strength training isn’t safe at my age.’

When clinically supervised and individually prescribed, strength training is safe and strongly supported by research. 

‘Isn’t weakness or joint pain just part of menopause?’

In many cases, joint discomfort is linked to reduced muscular support, not inevitable ageing. Research continues to show that strength training improves health outcomes across midlife and beyond. 


Why supervision is built into the Kieser approach

As bodies change, the way strength is built matters. Supervised, machine-based strength training allows:

  • controlled loading
  • consistent technique
  • measurable progression
  • reduced injury risk

This is particularly important for women navigating perimenopause and menopause and after, where recovery, joint tolerance and response to load can change over time.


Strength is not an optional extra. It’s health infrastructure.

At Kieser, we believe strength training should be:

  • evidence-led
  • guided by qualified health professionals
  • purposeful
  • accessible at every stage of life.

At Kieser, we help women build the strength they need to stay capable, confident, and independent.


What can I expect from an exercise physiology initial consultation?

Our exercise physiologists provide targeted education around your stage of menopause, a treatment plan addressing the changes in your body, like pelvic floor, hormones and any additional associated pain. You will also receive a comprehensive assessment of your body composition to evaluate bone health, muscle quality and metabolic health.