Reformer Pilates is one of the most misunderstood options when women start looking for the best exercise for perimenopause. Most people hear "Pilates" and think gentle. Low-impact. Recovery work. Something you do when you can't do real exercise. What it actually is: precise. And precision is exactly what the perimenopausal body needs. In 2025, a randomised controlled trial published in Medicine (Baltimore) found that an 8-week Pilates programme reduced overall menopausal symp