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The Second Female ♀️ Transformation
How to Perimenopause
Hey there gorgeous,
Perimenopause is the beginning of the second female transformation.
This phase in a woman’s life typically spans from the late 30s to early 50s which is a substantial period of time.
Our body undergoes hormonal changes that prepare us for menopause, marking the end of reproductive capacity.
By understanding the biological aspects of perimenopause and its diverse symptoms, we can empower ourselves to navigate this period with smart choices.
This is what we will be discussing today in The Snack Bar today.

But before we dive in ...
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Did you know?
Did you know there are actually over 50 symptoms of perimenopause?
Some of the most common are hot flashes, night sweats, anxiety, vaginal dryness, brain fog and weight gain around the middle.
And a whopping 67% of 2000 menopausal women surveyed said they were afraid of how menopause may impact their mental health (Elektras, 2020 Menopause in the workplace REPORT)

Deep Dive: Hormone Shifts and Their Impact
Perimenopause is characterized by changes in reproductive hormones, primarily estrogen and progesterone, which play important roles in regulating our menstrual cycle and maintaining reproductive health.
These hormonal changes can lead to irregular periods, often accompanied by unpredictable bleeding patterns.
The changes in hormone levels can also lead to a range of physical and emotional symptoms.
A Multitude of Symptoms
There are over 50 documented symptoms of perimenopause that can show up during this phase.
I started experiencing many of these, and it almost seemed like a new one would surface every week. At the time the symptoms scared me, and I didn’t realise it was perimenopause.
See if you relate to any of these symptoms:
Oh my aching joints …
Why I am so damn tired …
I’ve got to go pee … again!?!?!
And now it’s stinging … again. More cranberry juice!?!?
One minute I’m up, the next the sky is falling or I’m crying …
Heart racing, palms sweaty, stomach sinking …
Why does it feel like ants crawling on my skin, but nothings there?!
How am I supposed to sleep with these pins and needles?
What’s that ringing in my ear?
Did I just touch a live wire or something!?
Why is the world spinning, or wait, is it me spinning?!
Where did I put my keys? And what was her name?
“Ahhhhchooo”! What’s with these watery eyes and runny nose?
Did these pants shrink? What’s with all this bloating?
Wait, is that MY hair on the pillow, on my brush, clogging the shower?
Damn, I just split my nail AGAIN!?
Sex? What’s that?
“Oh my heart! Who put this jumping jack in my chest!?”
I’m done with counting sheep. Give me the knock-out medication.
I know I’m not sunburned … so what’s with the burning sensations?
“These headaches! Do I need an MRI of my brain!?”
Why does it feel like I’m about to die?!
I swear I’m not normally an angry person …
What’s that smell? Is it me?
Navigating the symptoms of Perimenopause
I know this list is extensive!
I actually found it relieving to find out that some of my symptoms were a result of perimenopause and not anything more serious.
It is a good idea to have some education about what symptoms you may be having.
Many of these symptoms happen because of the delicate interplay between hormonal fluctuations and all the systems in the body, including the brain and nervous system.
The fluctuations in estrogen levels, in particular, have been linked to alterations in neurotransmitter levels, influencing mood and brain function.
The range and severity of perimenopausal symptoms is unique to every woman.
Empowerment lies in educating ourselves about these symptoms, enabling us to distinguish between those that are transient and those that might warrant medical attention.
By keeping a symptom journal and monitoring patterns, we can work with healthcare professionals to create personalized management strategies.

I didn’t realise I was going through perimenopause when all these weird symptoms started happening to me.
I remember the numbness in my limbs and vertigo, and it made me very frightened as I didn’t know what was happening to me.
I then spent a year trying to find out what was wrong with me and had every test under the sun. Everything came back normal, but I didn't feel normal.
I have spoken to many women who have felt the same way.
There is so much more education available now than 10 years ago, however, there needs to be more. You are not going crazy, it’s just perimenopause.
The role of lifestyle modifications
Embracing a proactive approach to managing perimenopause involves making lifestyle modifications that can alleviate symptom burden.
Engaging in regular physical activity can counterbalance hormonal changes, enhance mood, and improve overall cardiovascular health.
Activity should include strength training 2-3 times a week along with short or high intensity interval training, as both have been shown to reduce the severity of symptoms in perimenopause, decrease belly fat and improve metabolic health.

A balanced diet rich in protein, calcium, magnesium and vitamin D supports bone and muscle health, as all these nutrients can be compromised during this phase as a result of estrogen levels declining and general ageing.
Mindfulness techniques such as meditation, walking in nature and deep breathing exercises can mitigate stress and promote emotional well-being.
Adequate sleep hygiene practices can address sleep disturbances, offering a comprehensive approach to managing both physical and emotional challenges.
Simple habits such as turning off all digital devices 2 hours before bedtime and going to sleep and getting up at the same time everyday can improve sleep quality.
Seeking help from healthcare professionals
Menopause Hormone Therapy (MHT) is an option that involves supplementing the body with estrogen and, if required, progesterone, to alleviate symptoms.
However, MHT comes with considerations and potential risks for some women, necessitating a thorough discussion with a healthcare provider to determine its appropriateness.
Seek out a second opinion if your local doctor dismisses your perimenopause symptoms and provides no solutions.
Other Strategies You Can Use
So, what are some strategies we can take that can prepare us.
Educate Yourself: Take the time to research and educate yourself about perimenopause.
Being well-informed empowers you to recognize changes in your body and seek appropriate guidance. Listen to relevant podcasts or audiobooks on the menopause transition.
I have included some useful website links below in the Bite Sized Snacks section of this newsletter.
Symptom Journaling: Start keeping a symptom journal to track any physical or emotional changes you experience.
This will help you identify patterns and understand which symptoms are more consistent and what triggers certain symptoms.
Sharing this information with your healthcare provider can aid in creating a tailored management plan.
Lifestyle Modifications: Engage in strength training and high intensity or short interval training, to counter hormonal changes and improve mood, muscle health and heart health.
Prioritise a balanced diet rich in nutrients that support metabolic, bone and muscle health.
Consider incorporating mindfulness practices to manage stress and emotional well-being. Daily walks in nature are the best to de-stress.

Consult Healthcare Professionals: Reach out to healthcare professionals specialising in menopause management, such as gynaecologists, endocrinologists or a general practitioner who has specialised in women’s health.
Discuss your symptoms, concerns, and medical history openly. Together, you can explore options like Menopause Hormone therapy (MHT), Bioidentical Hormones or natural approaches to managing symptoms.
Bite Size Snacks: Empowering Shifts & Smart Insights for Strong Women
Helpful link for perimenopause → North American Menopause Society (NAMS)
The International Menopause Society → further education and resources
Lifestyle risks versus MHT → British Menopause Society on risks for breast cancer
Remember to join the waitlist for the Strong Woman Project and secure ‘founding members’ pricing at 50% off the regular price.
MEME OF THE DAY

Steps from Today’s Issue
Educate yourself about perimenopause. Podcasts are an excellent way to keep up to date.
Keep a journal of symptoms and triggers to share with your doctor.
Lifestyle modifications including strength training diet tweaks and nature walks to reduce stress.
Consult a health care practitioner who is up to date and understands perimenopause.
Ready to Change the Things You Can Change?
In perimenopause, knowledge guides, and empowerment fuels.
Embrace transition with informed choices, recognise symptoms and seek guidance.
Let your journal be a trusted friend, capturing patterns.
Nurture with movement, nutrition and mindfulness.
As you connect with other women, remember Oprah's words: "Surround yourself with only people who are going to lift you higher."
Together we can reshape perimenopause's narrative. You are not broken or deficient, it is a normal and beautiful transition period that every woman will experience.
Reflection
Am I Seeking Support and Knowledge? Reflect on your approach to seeking support and information.
The team at
The Snack Bar by The Strong Woman Project
