02/03/2026
March is Endometriosis Awareness Month 💛 - & as a personal trainer & advanced menopause coach, this conversation matters deeply.
Most of the social posts I see are great at raising awareness of endometriosis but none explore the relationship between endometriosis & perimenopause.
Endometriosis doesn’t magically disappear in perimenopause.
In fact, hormonal fluctuations during perimenopause can make symptoms more unpredictable: heavier bleeding, increased inflammation, pelvic pain, fatigue, & nervous system overload.
If you’re navigating both endometriosis & midlife hormonal changes, here’s what I want you to know:
💛 Exercise should support you, not make movement harder
💛 The right training can actually help symptoms
💛 Find a trainer that's knowledgeable - this isn't one size fits all
During perimenopause, estrogen can spike & crash unpredictably.
Because endometriosis is an estrogen-sensitive inflammatory condition, those fluctuations may increase symptoms for some women.
The right training helps manage stress, regulate blood sugar, stabilise inflammation & support recovery.
The same list of symptoms you handled at 30, may feel overwhelming at 45 - this is a physiological change that comes with the midlife hormonal shift - it's not weakness, it's not about doing less - it's about training smarter:
💛 Strength training to support bone density & metabolic health
💛 Low-impact cardio to reduce inflammation
💛 Mobility & pelvic stability to reduce pain patterns
💛 Nervous system regulation (breathwork, slower tempo training)
💛 Adjusting intensity of training sessions
With the right support & guidance & adapting to your body's needs rather than fighting against it, you can experience more energy, confidence & a greater sense of wellbeing.
Has this been helpful?
Head to my website www.lizshorefitness.com & sign up to recieve exclusive access to my members area 'Menopause 101'.