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You used to be able to smash out a HIIT class and feel like a human again by dinner. Lately, the same workout leaves you wrecked for three days, sleeping worse, and wondering if your body has quietly staged a mutiny. If that sounds familiar, you are not imagining it, and you are absolutely not alone. Somewhere around your mid-forties, the rules of exercise change. The workouts that used to sharpen you start to flatten you, and the advice you grew up on (do more, push harder, burn it all off) stops working the way it used to.
Here is the interesting part. There is one category of exercise that research keeps putting near the top of the list for women in perimenopause, and most of us have not even considered it. Racquet sports. Tennis and pickleball, specifically. And once you understand what is actually happening inside your body right now, it starts to make a lot of sense.
In Australia, perimenopause typically starts around age 47, though for plenty of women it begins in their early forties. On average it lasts four to six years, which means a significant stretch of your life is spent in a hormonal shift that affects almost everything. According to Australian health guidance from Jean Hailes and the Australasian Menopause Society, up to 80% of women in perimenopause experience symptoms. The 2023 National Women’s Health Survey found that one in four Australian women aged 45 to 64 had menopause symptoms significant enough to make daily activities difficult.
The usual suspects show up: hot flushes, broken sleep, brain fog, mood swings, weight that settles differently, joint aches that did not exist before. What is less commonly discussed is how your body responds to exercise during this window. Recovery slows. Cortisol tends to sit higher. Muscle is harder to build and easier to lose. Bone density begins to decline as oestrogen withdraws its protective effect. The cardiovascular risk profile shifts in ways that only become obvious decades later, if nothing is done about it now.
This is not a sob story. It is a design brief. The exercise you choose in perimenopause needs to do more work for less strain. It needs to build bone, protect the heart, lift mood, preserve muscle, support your brain, and keep you actually wanting to show up. That is a tall order for most forms of training. And yet racquet sports manage it almost by accident.
A landmark study published in the British Journal of Sports Medicine followed more than 80,000 adults for an average of nine years. The researchers compared six different forms of exercise against one another, measuring all-cause mortality and cardiovascular death. Running made a difference. Swimming made a difference. Aerobics made a difference. But racquet sports ranked first across the board. Regular players were 47% less likely to die from any cause and 56% less likely to die from cardiovascular disease than people who did not exercise. Harvard Health later highlighted the same finding, describing racquet sports as the form of exercise that offered the best protection against cardiac death in the study.
That number is staggering, and it has been reinforced in subsequent research. What makes it even more relevant for women in perimenopause is that these benefits stack on top of the specific things your body is asking for right now. Racquet sports are weight-bearing, which supports bone density at exactly the age when your skeleton needs it most. They are interval-style by nature, which trains the heart in short bursts that improve cardiovascular capacity without the chronic cortisol load of long steady-state cardio. They involve quick directional changes, which preserve the balance and coordination that quietly decline in midlife.
And then there is the brain. Tracking a ball, anticipating an opponent, adjusting your body mid-shot. This is neurological training disguised as a game, and it matters more than most of us realise.
A 2024 review of sports therapy in perimenopausal women found that structured sport improved somatic symptoms (the physical stuff like aches and hot flushes), urogenital symptoms, and depressive mood. Separate research has linked regular tennis play with improvements in vascular endothelial function in postmenopausal women, which is the lining of your blood vessels and a major marker of long-term heart health.
The mood piece deserves its own mention. Perimenopause is one of the highest-risk windows for depression and anxiety across a woman’s entire life. The combination of hormonal shift, sleep disruption, identity transition, and often simultaneous caregiving for children and ageing parents can be flattening. Racquet sports deliver three things that almost nothing else delivers at once: rhythmic aerobic movement, social connection, and a sense of play. You cannot really brood about a bad morning while you are chasing a drop shot.
Worth noting too: social isolation has been associated with a 50% increase in dementia risk. If you can find an activity that protects your brain through aerobic engagement, neurological challenge, and weekly contact with people who know your name, you are doing future-you a very large favour.
The choice between the two mostly comes down to what is available near you, and where you are with your joints. Tennis gives you more cardiovascular load and more reach for the ball. Pickleball is lower impact, easier to pick up, and tends to be far more social, with rotating doubles games that mean you meet new people within your first session.
For women in perimenopause who have never played a racquet sport, pickleball is often the easier doorway. The court is smaller. The paddle is lighter. Games move quickly, which keeps the heart working without long sustained efforts that feel punishing. You can be competent within a handful of sessions, which matters because feeling competent is part of what keeps you coming back.
Tennis rewards slightly more patience. The learning curve is longer, but the payoff is deeper fitness, more complex movement patterns, and a sport you can play for decades. Many of the women in our community play both, and the honest answer is that the best racquet sport is the one you will actually turn up for.
Perimenopausal bodies do not respond well to going zero to hero. The temptation to sign up for everything at once, or to throw yourself into daily play, tends to backfire around week three when something twinges and confidence takes a hit. A more sustainable approach looks like this.
Start with two sessions a week. One can be a beginner lesson, a Cardio Tennis session, or a casual social hit. The other can be drills, a practise hit against a wall, or a gentle doubles game. Prioritise warming up properly for at least ten minutes before you play, because tendons and ligaments are more sensitive to oestrogen withdrawal than anyone tells you, and a cold body on a court is the fastest way to an injury.
Pair your racquet sessions with some form of resistance training. Two short sessions a week is enough. Strength work is not negotiable in perimenopause, and it genuinely makes your racquet sport better. You will serve harder, move faster, and recover more quickly when you have underlying strength holding everything together.
Protect sleep with the same seriousness you protect your training. A bad night does not cancel out your game, but three bad nights will catch up with you. Hydrate properly. Fuel properly. Favour protein earlier in the day, because muscle protein synthesis becomes less efficient as oestrogen drops. And be kind to yourself on the days your body is clearly not interested in performing. That is information, not failure.
One of the quiet pleasures of taking up a new sport is the ritual of gearing up for it. Most women who start playing racquet sports in perimenopause quickly realise that what they were shoving into an old gym bag no longer works. You need a bag that fits your racquet or paddle, an extra layer for temperature regulation (because hot flushes and cold mornings are both in play now), water, sunscreen, a hair tie or two, a change of shoes, and whatever snack keeps your blood sugar stable.
This is exactly the problem our Court Bag and Paddle Bag were designed around. A dedicated racquet compartment that protects the strings. A ventilated section for sweaty kit so your bag does not become a science experiment on the drive home. Enough room for the adult woman’s version of a gym bag (think lipstick, laptop, a proper hydration flask) without being so bulky it becomes a commitment to carry. These are tools for the life you are actually living, not gear that assumes you are twenty-two and travelling light.
Can I start playing tennis or pickleball if I have never played a sport before? Yes. Plenty of women pick up their first racquet in their forties or fifties. Both sports have strong beginner pathways in Australia, including women-only sessions, Cardio Tennis programs, and community pickleball clubs designed specifically for new players. Start with a lesson, lean on the community, and give yourself permission to be new at something.
Is pickleball really easier on your joints than tennis? Generally, yes. The court is smaller, the ball is lighter, and the movements are less explosive. That said, pickleball injuries do happen, particularly ankle sprains from quick lateral moves. A proper warm-up and supportive court shoes matter regardless of which sport you choose.
How often should I play during perimenopause? Two to three sessions per week is the sweet spot for most women. Enough to build cardiovascular and bone benefits, not so much that you are constantly under-recovered. Pair with one or two strength sessions and plenty of rest. If a session leaves you more wrecked than refreshed, dial it back.
Will racquet sports help with weight management in perimenopause? They contribute, but weight in perimenopause is rarely solved by exercise alone. Racquet sports help by preserving muscle, improving insulin sensitivity, and supporting better sleep and mood, all of which feed into healthier body composition. The goal is a strong, functional body, not a smaller one.
What is the best age to start? The one you are right now. Research consistently shows that starting a racquet sport in midlife still delivers the mortality, cardiovascular, and cognitive benefits associated with lifelong play. The returns do not require you to have started at eight years old.
The truth about perimenopause is that it is not a problem to be solved. It is a stage to be navigated, and the choices you make now shape the next three decades of how you live in your body. Racquet sports are not a magic fix, but they are a rare form of training that meets your body where it is now instead of where it used to be. They ask you to move, to connect, to think, and to play. Four things that tend to go quiet in midlife if no one is watching.
The next step is embarrassingly simple. Find a court. Book a lesson. Walk into a club day. Borrow a paddle from a friend who plays. You do not need to be good. You just need to turn up.
Your future self is already grateful.