Why Am I Feeling More Achy During Perimenopause?
Introduction
Many women notice changes in their body during perimenopause.
You may find that you feel:
stiffer than usual
slower to recover after exercise
more aware of aches and pains
like your body is responding differently to movement
These changes are common, but they can often feel confusing.
Perimenopause involves significant hormonal changes that can influence many systems throughout the body, including your muscles, joints and ability to recover from physical stress.
What changes during perimenopause?
Perimenopause is the transition period before menopause, where hormones, particularly oestrogen - begin to fluctuate.
Oestrogen plays an important role throughout the body, including supporting:
muscle health
bone health
connective tissue function
recovery and adaptation
As hormone levels change, some women notice changes in how their body feels and performs.
Why does my body feel different?
Changes during perimenopause are not caused by one single factor.
Your experience can be influenced by:
hormonal changes
sleep quality
stress
previous injuries
exercise habits
lifestyle factors
This is why two women going through the same stage of life can have very different experiences.
The good news
Your body remains adaptable throughout life.
While hormonal changes are a normal part of ageing, maintaining movement, strength and healthy lifestyle habits can help support your physical health through this transition.
Key takeaway
Feeling different during perimenopause is common, but it does not mean your body is failing.
Understanding what is happening allows you to make informed decisions about how to support your health.
References
Kruse M, et al. The effects of menopause transition on musculoskeletal health and physical function: a systematic review. (2026).
Leblanc DR, Schneider M, Angeletti A, et al. The effects of estrogen on tendon and ligament health: a systematic review. Journal of Applied Physiology. 2017.