Lower estrogen levels cause dryness and tissue thinning in the vulva and vagina, which might increase saddle soreness.
The inability to concentrate, the decrease in balance and coordination, along with mounting hormonal induced anxiety, can mean normal routes may be suddenly terrifying even though you’ve ridden them many times before.
You may feel like you’ve lost your spark, your motivation and your love of cycling. But there is some good news, too! Cycling can be the very thing that helps your symptoms.

Why cycling helps during midlife changes
You might be surprised how much cycling and staying active can help you through the menopause transition.
We’ve all heard the stories of menopause rage, moodiness and sadness. But exercise, especially intense exercise, releases endorphins that can improve mood, combat anxiety and help you feel more regulated.
New evidence suggests that regular activity can even decrease the frequency and intensity of hot flashes. Physical fitness is known to have a positive effect on sleep, helping you manage insomnia and night sweats, which help you rest better and feel more energetic.
Cycling burns fat and calories and boosts metabolism, which can help to counteract menopausal weight gain. It also strengthens your heart, lowers blood pressure and improves circulation.
Since cycling is low-impact, it protects the joints while strengthening muscles, so it may help to ease the discomfort of joint pain that comes along with shifting estrogen levels.
And of course, regular exercises like cycling can boost energy and stamina, which makes your day-to-day activities feel easier and better.
Common challenges women face on the bike
One challenge you may see on the bike is that your training plan doesn’t work for you anymore. You might find that long rides build up too much fatigue, or the nutrition plan isn’t working for you anymore, either.
As estrogen declines, we become more sensitive to carbs and insulin resistance. That means we may need to adjust what we eat both on and off the bike.
You may find yourself suffering from saddle issues due to thinning tissues and changing body composition. You may find yourself overly anxious on rides. That descent you sailed down last week – might make you tremble in fear this time. Or you overheated on that climb and had to get off and walk because you felt so hot and uncomfortable.
And maybe you’re suffering from a big lack of motivation. Because when you suddenly feel like your body is betraying you, working out can be the last thing you’re motivated to do. And physically, you might not even feel up to it.
When I found myself crying on the bike because I was so fatigued I couldn’t hit my watt targets, I knew something had to change in my training plan.
Practical training adaptations for midlife riders
Menopause and perimenopause aren’t the end to your riding and competing, but you may need to make some adaptations to your training and fueling to make it work.
In the past, it was thought that we needed to do lots of Zone 2 training to create the mitochondrial adaptations we needed to get faster.
But in perimenopause, this can create too much fatigue to be helpful. Instead, Dr. Sims suggests adjusting your training balance to include HIIT workouts and strength training.

Prioritize heavy lifting in order to stimulate muscle protein synthesis, and to maintain lean muscle mass, and incorporate High Intensity Interval Training (HIIT) once or twice a week. HIIT uses short, intense bursts of exercises followed by recovery with a lower-intensity exercise such as walking.
How to train indoors when symptoms flare
It can be pretty tough to find the motivation to do a big bike ride when your symptoms are flaring. But you can lean into your indoor rides to keep up the consistency in spite of your symptoms and even find some relief along the way by adjusting your training strategy.
For example, on low-sleep days, choose a shorter, sharper session on your trainer. Aim for 35 to 60 minutes of a HIIT or a Sprint Interval Training (SIT) routine Try one of the short, hard workouts on the ROUVY app, or just give it a full-gas sprint followed by about 5 minutes of recovery. Repeat 5 to 7 times, if you can. Or try some of the other strategies listed below.