What is perimenopause, really?
Perimenopause is the transition phase before menopause — typically beginning in a woman's early-to-mid 40s, though it can start earlier. It is not a single event but a years-long hormonal shift, often beginning 4 to 10 years before periods stop entirely.
During this time, the ovaries gradually reduce their output of estrogen and progesterone — two hormones that regulate not just the reproductive cycle, but also the brain, heart, bones, muscles, gut, urinary tract, and skin. When these hormones fluctuate unpredictably and then decline, the effects are felt across the entire body.
The result is a constellation of symptoms that often appear unrelated — which is precisely why so many women spend years seeking answers without getting them. Perimenopause is not a malfunction. It is a predictable biological process. Understanding it changes everything.
What this course covers
Ten modules built on peer-reviewed research, structured to take you from foundational biology through to practical, evidence-based strategies for training, nutrition, sleep, pelvic health, emotional wellbeing, and medical options — all in plain language.
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FreeModule 1 — Female Anatomy & Biology Try freeHow the female hormonal system works. The key hormones, the structures that produce them, and why their influence extends far beyond reproduction. The essential foundation for everything that follows.
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2Module 2 — The Science of PerimenopauseDefinition, staging (STRAW+10), how and why hormones fluctuate, vasomotor symptoms, and the full symptom landscape with mechanisms explained.
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3Module 3 — Psychology of PerimenopauseThe brain as an estrogen-dependent organ. Dr Lisa Mosconi's neuroimaging research, brain fog, memory, anxiety, depression, and identity during transition.
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4Module 4 — Emotional WellbeingEmotional reactivity and the hormonal brain. CBT including CBT-M, mindfulness, ACT, communication strategies, and building psychological resilience.
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5Module 5 — Nutrition for Hormonal HealthWhy nutritional needs change, protein, anti-inflammatory eating, blood sugar regulation, bone health nutrition, the estrobolome, phytoestrogens, and supplement evidence.
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6Module 6 — Exercise, Strength & MovementWhy perimenopause changes exercise needs. Resistance training, cardiovascular exercise, HIIT adaptations, bone density, and recovery strategies.
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7Module 7 — Sleep & the Nervous SystemHow hormones disrupt sleep, circadian rhythm changes, CBT-I (the gold standard approach), perimenopause-specific sleep hygiene, and nervous system regulation.
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8Module 8 — Pelvic Health & the Pelvic FloorPelvic floor anatomy, how estrogen maintains pelvic health, GSM, urinary incontinence types, prolapse, correct exercise technique, and local vaginal estrogen.
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9Module 9 — Wellness, Longevity & Preventive CareCardiovascular health, bone density and osteoporosis prevention, metabolic health, cognitive health and dementia prevention, skin, and longevity frameworks.
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10Module 10 — HRT, Medications & Navigating Your HealthcareMHT types and delivery routes, the timing hypothesis, what the WHI study actually showed, progestogen choices, non-hormonal options, and self-advocacy strategies.
Built on real science, not wellness trends
Every claim in this course is supported by peer-reviewed research. The content draws on the published work of internationally recognised specialists across six disciplines — the same expert sources that inform elite coaching certifications such as Girls Gone Strong's Menopause Coaching Specialist programme.
References are cited throughout and available in each module's downloadable PDF summary. This is not a wellness blog repackaged as a course. It is science — made accessible.
Who is this course for?
This course is for any woman who wants to understand what is happening in her body during perimenopause — and what she can do about it. You do not need a science background. You do not need to be mid-transition. Many women start this course in their late 30s as a foundation, others start in full perimenopause because they are finally ready for real answers.
It is equally valuable for coaches, personal trainers, and health practitioners who work with women in this life stage and want their practice grounded in current evidence.
What you will walk away with is genuine understanding — not a list of tips, but a solid mental model of your own biology, the confidence to have better conversations with healthcare providers, and a clear, evidence-based framework for the choices ahead of you.
Start with Module 1 — free.
No account needed. Read the full module, complete the knowledge check, and decide if the full course is right for you.
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