If you're in your 40s or 50s and you've started leaking when you sneeze, feeling heaviness in your pelvis, or noticing urgency that wasn't there before, the chance that your pelvic floor is involved is high. According to Royal College of Obstetricians and Gynaecologists polling, over 60% of UK women have at least one symptom of poor pelvic floor health. And 69% of those women have never been spoken to by an NHS professional about what to do about it. Most women who mention sy

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 2024, a meta-analysis of 11 randomised trials involving 1,005 women found that mind-body exercise, the category Pilates sits in, produced la

Most women I work with who are going through perimenopause are not doing nothing. They are training regularly. Some of them are training harder than they ever have. And it is not working: not for weight, not for energy, not for the belly that appeared with no obvious explanation. What I tell them, and what I wish someone had told me during my own perimenopause, is that the problem is usually not effort. The relationship between cortisol and menopause is the part of this pictu