Menopause Isn’t the End—It’s a New Beginning
- Dr. Rochelle Bernstein
- 11 hours ago
- 3 min read
If you’ve ever walked out of a doctor’s office feeling dismissed, confused, or unheard when talking about menopause, you’re not imagining it—and you’re definitely not alone. A 2019 study found that of 177 resident physicians in family medicine, internal medicine, and even obstetrics/gynecology, 20% received no formal education on menopause during their training. Even more striking: fewer than 7% felt prepared to care for women through this important stage of life.

Let that sink in. Even within today’s modern medical system, menopause remains significantly underrepresented in clinical education. So if you’ve ever felt misunderstood or unsupported, it’s not a reflection of your experience—it’s a reflection of how medicine has overlooked women at midlife for far too long.
But here’s the truth: you are not invisible, and you are not without options. Menopause is not a decline—it’s a transition. Your body is evolving, yes, but that doesn’t mean you need to give up the things that bring you joy, strength, or vitality. With the right strategies rooted in science, you can take the lead in your health and wellness.
Here are five ways to do exactly that:
1. Embrace Menopause as a New Chapter
This isn’t the end of your story—it’s the start of a bold new chapter. For decades, women were conditioned to associate menopause with loss and frailty. But that narrative is outdated. We now understand that this life stage is a powerful opportunity to redefine how we care for ourselves—physically, mentally, and emotionally. Hormonal changes, shifts in metabolism, and fluctuations in cognitive function are real—but they are also manageable. The more you learn about what’s happening inside your body, the more confident and in control you’ll feel.
2. Make Strength Training Non-Negotiable
You may have heard the phrase “lift heavy.” It’s not just a catchy slogan—it’s one of the most impactful tools we have for navigating midlife health. As estrogen declines, so do muscle mass and bone density. Strength training, particularly high-intensity and low-repetition work, can help preserve and even rebuild these vital systems. If you’re new to lifting weights, start slow and build up gradually. But know this: resistance training isn’t optional during menopause—it’s foundational. It supports your energy, independence, and long-term health.
3. Use Sprint Interval Training (SIT)
If you’re short on time but want powerful results, Sprint Interval Training (SIT) is your ally. These short, high-intensity bursts of movement followed by brief recovery periods are highly effective for reducing fat mass and increasing lean muscle. Here’s one simple way to try it: during a 20-minute run, swim, or cycling session, add three sets of 4 x 8-second sprints, each followed by 12 seconds of rest. Take a 5–10 minute break between sets. A 2019 study found that just eight total hours of SIT over eight weeks led to increased lean mass, reduced fat mass, and better aerobic capacity. In other words: SIT helps your body reclaim strength and resilience, even as hormone levels change.
4. Prioritize Protein and Ditch the Fads
As your body changes, so should your nutrition—and protein becomes especially important. Aim for roughly 1 gram of protein per pound of body weight (or 2.0–2.2 grams per kilogram). This helps maintain muscle mass and support recovery from exercise. And although intermittent fasting might be trending, it’s not ideal for most women in midlife. It can accelerate muscle breakdown and slow metabolic function—exactly what we’re trying to avoid. The goal now is to fuel your body, not deprive it.
5. Make It Personal: Track Symptoms and Adjust
Menopause doesn’t look the same for everyone, which means your wellness plan shouldn’t be one-size-fits-all. By tracking your symptoms, you can start to see patterns—and adjust your workouts, nutrition, and sleep accordingly.
Key symptoms to keep an eye on:
Irregular cycles (track timing, flow, and length)
Hot flashes and/or night sweats
Sleep issues
Mood shifts, including irritability or anxiety
Brain fog or memory lapses
Muscle loss or body composition changes
Vaginal dryness
Joint pain or headaches
These aren’t just random signs of aging—they’re your body’s way of asking for attention and support.
You Deserve More Than Just to “Get Through” This
Menopause isn’t something to suffer through. It’s a stage of life that, when approached with knowledge and intention, can become a time of strength, clarity, and renewal. You don’t need to settle for feeling tired, foggy, or stuck. You don’t need to slow down.
You are not fading—you’re evolving. And that’s something worth celebrating.