The Changing Body

Can yoga help with the physical changes of menopause?

By Tiffany Bergin, C-IAYT · CIYT  ·  Wisdom Library

"The entry point is acknowledgement and acceptance. From there we move to practices that meet them where they are and give them a sense of achievement. We honor the space and place they are in and show that they are enough — that they haven't lost it all." — Tiffany Bergin, C-IAYT, CIYT

Tiffany's Perspective

“There is really no general approach to menopause and perimenopause because every woman experiences something different. If insomnia is the main complaint, then we would work on the sleep cycle. If it's hot flashes, then we would do practices to expel the excess heat. One asana that is extremely beneficial for women in all life transitions, especially when dealing with the hormonal body, is Supta Baddha Konasana.”

— Tiffany Bergin, C-IAYT, CIYT · Tiffany on her individualised approach to menopause

During menopause, the practice changes. We use more props, we may incorporate more restorative asana and pranayama. We focus on balance and stability in areas like the knees and hips, and elongation and traction of the spine to support the body through its transition.

Supporting the nervous system

Menopause is not a disease to be cured; it is a profound physiological transition. The decline in estrogen and progesterone affects not just the reproductive system, but the nervous system, bone density, cardiovascular health, and the body's internal temperature regulation.

Many women experience this transition as a period of intense anxiety, insomnia, and physical discomfort. The body feels unpredictable. In the Iyengar tradition, as detailed extensively by Dr. Geeta S. Iyengar, the yoga practice must adapt to meet these specific needs. A rigorous, heat-building practice is often counterproductive during menopause, as it exacerbates hot flashes and agitates an already overtaxed nervous system.

How the practice changes

Instead, the practice shifts toward cooling, grounding, and stabilizing. We use more props to support the body, allowing the practitioner to hold poses longer without muscular fatigue. This extended holding time is crucial for down-regulating the sympathetic nervous system and allowing the endocrine system to rest.

"The practice changes. We focus on balance and stability in areas like the knees and hips, and elongation and traction of the spine." — Tiffany Bergin

We incorporate more restorative asana — such as supported Supta Baddha Konasana and Viparita Karani — which are specifically prescribed in the Iyengar lineage to soothe the nerves and cool the body. We also introduce specific pranayama (breathing) practices, like Viloma, which further quiet the mind and prepare the body for restful sleep. At the same time, we do not abandon strength; standing poses, done with the support of a wall or a chair, are essential for maintaining bone density and joint stability during the menopausal years.

Frequently asked questions

How does yoga help with menopause symptoms?
Yoga helps by regulating the nervous system and supporting the endocrine system. Restorative poses and specific pranayama practices (like Viloma) cool the body, reduce the frequency of hot flashes, and calm the anxiety and insomnia that often accompany hormonal shifts.
Is it safe to start yoga during menopause?
Yes, and it is highly beneficial. The Iyengar method uses props to support the body in every pose, ensuring that you can build strength, improve bone density, and maintain joint mobility safely, regardless of your previous experience.

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Tiffany Bergin

C-IAYT · CIYT · Iyengar Yoga Teacher · Functional Nutritionist

Tiffany is a certified yoga therapist and Iyengar yoga teacher based in Minnesota. She works with individuals navigating the physical and emotional transitions of aging, menopause, and recovery — using therapeutic yoga to build stability, resilience, and peace. Learn more →

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