Symptom & Goal

Bloating and Strength Training During Perimenopause

Does strength training help with perimenopause bloating? Discover how lifting weights addresses the root causes of bloating and how to train comfortably.

5 min readFebruary 28, 2026

Why Perimenopause Causes Bloating

Bloating is a frustrating and common symptom of perimenopause, often described as a persistent puffiness or heaviness in the abdomen that does not track with diet in obvious ways. The primary driver is the fluctuation and eventual decline of oestrogen and progesterone. These hormones influence fluid retention, gut motility, and the composition of the gut microbiome, all of which affect how bloated you feel. Falling progesterone levels in particular tend to promote water retention and slow gut transit, making bloating worse in the days before a period and increasingly common as cycles become irregular. Understanding this helps explain why strength training, which has wide-ranging hormonal and metabolic effects, can be a valuable tool.

How Strength Training Addresses Bloating

Strength training improves insulin sensitivity, which matters because insulin resistance is increasingly common during perimenopause and contributes to bloating by promoting fluid retention and disturbing the gut environment. Lifting weights also stimulates gut motility, meaning food and gas move through the digestive tract more efficiently, reducing the build-up that causes bloating. Building muscle mass through resistance training raises resting metabolic rate and improves how your body manages carbohydrates and fluids, both of which directly influence abdominal bloating. Regular strength training over weeks and months produces meaningful shifts in body composition and metabolic health that reduce the frequency and severity of bloating episodes.

Timing Your Sessions Around Bloating

Many women find that bloating follows a pattern tied to their cycle or to certain foods and situations. Tracking symptoms with PeriPlan can help you identify when your worst bloating days tend to fall, so you can plan accordingly. On days when bloating is severe, a lighter session focusing on upper body work or seated exercises may be more comfortable than heavy compound lifts that compress the abdomen, such as squats and deadlifts. On other days, compound movements are fine and often help relieve bloating by stimulating circulation and gut movement. Listening to your body while maintaining consistency across the week is the key approach.

Exercises That Help the Most

Compound movements that recruit large muscle groups are particularly effective at improving the metabolic and hormonal environment linked to bloating. Squats, deadlifts, rows, and presses should form the backbone of a strength programme aimed at perimenopausal symptom management. Core work that engages the deep abdominals without excessive intra-abdominal pressure, such as bird-dog or dead-bug exercises, supports gut function and helps manage the appearance of bloating without making it worse. If bloating is active and uncomfortable, focus on upper body pulling and pushing movements that keep direct abdominal compression to a minimum while still providing a strong training stimulus.

What to Eat and Drink Around Sessions

Nutrition around strength training sessions can either worsen or reduce bloating. Eating a large meal immediately before lifting, particularly one high in fermentable carbohydrates or fibre, often increases bloating during the session. A smaller, easily digestible pre-workout meal works better. Staying well hydrated with plain water throughout the day helps the kidneys excrete excess fluid, reducing water retention bloating. Avoiding carbonated drinks, excessive salt, and alcohol in the hours around training also helps. After a session, a protein-rich meal supports muscle repair and maintains the metabolic gains that reduce bloating over time.

Clothing and Comfort During Training

When bloating is present, tight waistbands and compressive clothing around the abdomen can feel unbearable during a workout. Choosing high-waisted leggings that provide support without digging in, or opting for loose training shorts, makes sessions much more comfortable on difficult days. A waistband-free option, such as a running belt worn loosely around the hips rather than the waist, can be useful for those who find any waist compression intolerable. Avoiding tight belts during lifting, unless you are training at a high level where a lifting belt is genuinely needed, also reduces discomfort during abdominal bloating.

Building a Consistent Strength Habit

The benefits of strength training for perimenopausal bloating are cumulative and become more pronounced over months of consistent training. Starting with two sessions per week, each lasting 30 to 45 minutes, is realistic for most women new to resistance exercise. Progressing gradually by adding weight or repetitions every few weeks ensures continued adaptation. Over time, regular strength training tends to reduce not just bloating but also other perimenopausal symptoms including mood swings, fatigue, and poor sleep. Logging workouts in PeriPlan alongside symptom records creates a useful picture of how your training is affecting the way you feel, which can motivate continued consistency.

Related reading

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Symptom & GoalPilates for Bloating During Perimenopause: Core Work That Calms Your Gut
Medical disclaimerThis content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. PeriPlan is not a substitute for professional medical advice. If you are experiencing severe or concerning symptoms, please contact your doctor or emergency services immediately.

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