Physiological Changes, Exercise Strategies, & Habit Formation in Perimenopause for Allied Health Professionals

In this course, Dr. Stacy Sims provides prescribers with an in-depth understanding of how hormonal changes during perimenopause affect physiology, movement, nutrition, and long-term health. You’ll learn how to translate cutting-edge exercise science into practical, evidence-based strategies that support muscle, bone, metabolic, and cognitive health in midlife women.

After this course, you will be able to:

  • Analyze the physiological effects of estrogen, progesterone, and testosterone decline on muscle regeneration, bone turnover, insulin sensitivity, and neurotransmission, and integrate this knowledge into targeted movement and nutrition approaches.

  • Evaluate how HIIT, SIT, heavy resistance training, and plyometrics counteract reduced anabolic signaling, metabolic inflexibility, and cardiovascular decline in midlife women.

  • Distinguish between the effects of diet trends like intermittent fasting and ketogenic diets on insulin sensitivity, lean mass preservation, bone density, and gut microbiome diversity during perimenopause.

  • Design training and fueling strategies that address altered anabolic response, gut microbiome shifts, joint integrity, pelvic floor concerns, and lifestyle constraints unique to this life stage.

  • Apply practical strategies from “The Big Rocks” framework to establish sustainable habits around protein timing, strength training, and short, intense exercise, supporting long-term physiological health.

  • Demonstrate solutions for overcoming joint pain, pelvic floor dysfunction, inflammation-related mobility issues, and barriers to nutrition and exercise consistency.

Learning Format: Video-based instruction, real-world case applications, and downloadable tools.

Part of our ongoing library of women’s health education for allied health professionals, this course is also a mandatory component of the Perimenopause Certificate®.

This course is included in Perry Academy Membership.


Membership gives you full access to all current and upcoming courses, live sessions, and the Perry Certified Directory.


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  • Instructors

    Stacy Sims, PhD

  • 1h 31min

    Video duration

  • 3 Video Transcripts & Resources

    Included 

  • 1 Quiz

    Course Instructor

    Stacy Sims, PhD

    Stacy Sims, PhD
    Exercise Physiologist and Nutrition Scientist
    Stacy is a forward-thinking international exercise physiologist and nutrition scientist with an MSc and PhD. Her aim is to revolutionize exercise nutrition and performance for women.
    She has directed research programs at Stanford, AUT University, and the University of Waikato, focusing on female athlete health and performance and pushing the dogma to improve research on all women.
    With the unique opportunities Silicon Valley has to offer, during her tenure at Stanford, she had the opportunity to translate earlier research into consumer products and a science-based layperson's book (ROAR) written to explain sex differences in training and nutrition across the lifespan. 
    Your Perry Academy membership

    Earn Your Certificate. Unlock the Full Experience

    The Perry Academy Perimenopause Certificate® is your foundation—CME/CE-accredited, expert-led, and built with real patient insight. But great care requires more than a one-time course.

    Your first-year membership (included with enrollment) gives you access to:
    • Tools: Handouts, trackers, social media assets, talk sheets
    • Live & on-demand events: Q&As, webinars, workshops
    • Case studies: Real-world scenarios with expert breakdowns
    • Advanced modules: New CME/CE content added regularly
    • Networking & summits: Exclusive invites to Perry events
    • Private forum: Collaborate, share, and stay current

    Because care evolves—so should your training. Perry Academy grows with you.
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    Lesson series

    Stay certified. Stay current.

    This and many more courses, resources, live events and case studies are part of an active Perry Academy Membership.

    Become a Perry Academy member for ongoing education, events, and CE access to a growing library—all year long
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