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7 Reasons why exercise, not medication, is your best bet for longevity

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7 Reasons why exercise, not medication, is your best bet for longevity

Choosing exercise over medication for longevity isn’t just a health trend; it’s a lifestyle choice backed by science. 

This blog delves into seven reasons why regular physical activity could be your secret weapon for a longer, healthier life. 

You’ll discover how exercise, more than any pill, enhances heart health, mental well-being, immune function, and much more. 

Perfect for anyone aiming to improve their health, these insights will highlight the profound impact of incorporating exercise into your daily routine, showing that sometimes, the best medicine is a good workout.

7 Reasons why exercise is the ultimate longevity booster

1. Improves cardiovascular health

Integrating regular exercise into your lifestyle can lead to substantial and lasting improvements in cardiovascular health, often going beyond what medication alone can achieve. It’s a holistic approach, benefiting not just your heart but your entire body and mind.

Here’s how it fortifies your heart and circulation:

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Strengthens the heart muscle

Just like any other muscle, your heart becomes stronger with exercise. Regular physical activity helps the heart pump more efficiently, reducing the strain on this vital organ [1].

Improves blood circulation

Exercise enhances blood flow, ensuring better distribution of oxygen and nutrients throughout your body. This can lead to reduced blood pressure and a lower risk of heart disease.

Exercise vs. medication

  • Reduced dependency on medication: While medications for heart health are essential for some, regular exercise can reduce the reliance on these drugs. It can naturally lower blood pressure and cholesterol levels [1], reducing the need for medication.
  • Long-term benefits: Exercise offers long-term improvements in heart health without the side effects often associated with pharmaceuticals.
  • Holistic health: Beyond just cardiovascular benefits, exercise improves overall health, including weight management, mental health, and immune function, offering a more comprehensive approach to wellbeing.

2. Enhances mental health

A regular exercise routine can significantly enhance your mental health, offering a holistic and sustainable approach to managing stress, anxiety, and depression [2]. 

This natural method can work in tandem with or sometimes even replace the need for medication-based treatments, depending on individual circumstances. Here’s how it makes a difference:

Natural stress reliever

Physical activity increases endorphin production, reducing stress and promoting well-being.

enhances mental healthenhances mental health

Combats depression

Regular exercise has been shown to relieve symptoms of depression. It stimulates the release of neurotransmitters like serotonin and dopamine, which play a key role in mood regulation.

Exercise vs. medication

  • Long-term effects: Unlike medication, which often treats symptoms temporarily, exercise can improve mental health.
  • No side effects: Exercise comes without the side effects commonly associated with antidepressants or anti-anxiety medication.
  • Holistic approach: It improves mental health and enhances physical health, creating a positive feedback loop that further boosts overall well-being.

3. Boosts immune function

Incorporating regular exercise into your lifestyle offers a comprehensive approach to strengthening your immune system. 

It’s a natural, effective way to enhance immune resilience and overall health, often providing broader and more lasting benefits than medication alone. Here are the distinct advantages of exercise over immunity-boosting medications:

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Enhances immune surveillance

Physical activity improves the circulation of immune cells, making the body more efficient at detecting and responding to pathogens [3].

Reduces inflammation

Regular exercise can lead to a long-term decrease in inflammation, a key factor in immune response.

Exercise vs. medication

  • Sustainable immune health: Unlike certain medications that offer temporary immune support, exercise contributes to lasting improvements in immune system resilience.
  • No adverse effects: Exercise strengthens the immune system naturally, without the side effects sometimes associated with immune-boosting drugs.
  • Overall health benefits: Beyond immune enhancement, exercise improves cardiovascular health, mental well-being, and more, contributing to a stronger, healthier body capable of robust immune responses.

4. Aids in weight management

Exercise is a more holistic and sustainable weight management approach than weight-loss medications. 

It not only helps in shedding pounds but also builds a foundation for a healthier lifestyle. Here are the advantages that weight-loss medications often can’t match:

Burns calories

Regular physical activity increases calorie expenditure, which is crucial for weight loss and management [4].

Boosts metabolism

Exercise, especially strength training, builds muscle mass, which enhances metabolism, helping the body burn more calories even at rest.

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Exercise vs. weight-loss medications

  • Sustainable results: While weight-loss medications may offer quick results, exercise leads to longer-lasting weight management by promoting healthy habits.
  • Holistic health benefits: Exercise not only aids in weight control but also improves overall health, unlike medications which can have side effects and don’t necessarily contribute to overall wellness.
  • Addresses root causes: Exercise tackles the underlying issues of weight gain, such as sedentary lifestyle and poor fitness, rather than just the symptoms [4].

5. Strengthens bones and muscles

Regular exercise offers long-term benefits for musculoskeletal health, mobility, and overall well-being [5]. Here are the benefits that often surpass those from medications and supplements:

Prevents osteoporosis

Weight-bearing exercises, like strength training and walking, stimulate bone formation and reduce the risk of osteoporosis and fractures [6].

Combats muscle atrophy

Regular physical activity helps preserve muscle mass and strength, crucial for mobility and overall health.

Exercise vs. medications and supplements

  • Natural approach: Exercise strengthens bones and muscles through natural physiological processes, unlike some supplements and medications that can have side effects.
  • Comprehensive benefits: While certain medications and supplements target bone density or muscle strength, exercise improves both, along with other aspects of health like balance and coordination.

6. Improves sleep quality

Regular physical activity provides a holistic approach, addressing sleep issues without the potential downsides of medication. Here’s why it stands out as a natural alternative to sleep-aid medications:

Promotes deeper sleep

Engaging in physical activity can lead to more restorative deep sleep phases [7], crucial for physical and mental recovery.

Regulates sleep patterns

Regular exercise helps synchronize your body’s natural circadian rhythms, contributing to more consistent sleep patterns [7].

Exercise vs. sleep-aid medications

  • Sustainable solution: Unlike sleep medications, which can lead to dependency or have side effects, exercise offers a long-term, natural solution to sleep problems.
  • Additional health benefits: Exercise not only improves sleep but also boosts overall health, offering benefits that sleep medications cannot, such as improved mood, reduced stress, and enhanced physical fitness.

7. Enhances brain health and cognitive function

Exercise offers a natural, effective way to enhance brain health and cognitive function, surpassing the benefits of medication alone. 

It’s a proactive approach to maintaining mental sharpness and overall brain health. It offers unique benefits compared to cognitive-enhancing medications:

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Boosts brain health

Regular physical activity increases blood flow to the brain, delivering essential oxygen and nutrients that are vital for maintaining brain health. This, in turn, can lead to improvements in memory, attention, and processing speed [8].

Slows cognitive decline

Regular exercise has been shown to slow down the natural decline in brain function associated with aging, reducing the risk of neurodegenerative diseases like Alzheimer’s.

Exercise vs. cognitive-enhancing medications

  • Holistic benefits: Unlike medications that may target specific cognitive functions, exercise benefits the entire brain, improving various aspects of cognitive health.
  • Long-term effects: Exercise provides lasting cognitive benefits without the side effects or dependence risks associated with some medications.

What exercises are best for longevity?

Incorporating the right exercises into your routine can significantly impact longevity. Here are key activities best suited for promoting a longer, healthier life:

Aerobic exercises

Engaging in activities like walking, jogging, swimming, and cycling can enhance cardiovascular health, increase lung capacity, and improve stamina [9]. It is recommended to aim for at least 150 minutes of moderate or 75 minutes of vigorous aerobic activity per week.

Strength training

Building muscle through weight lifting or bodyweight exercises like squats and push-ups helps maintain muscle mass, supports metabolism, and strengthens bones.

strength trainingstrength training

Flexibility and balance exercises

Practices such as yoga or tai chi enhance flexibility, reduce the risk of falls, and improve joint health.

Functional fitness

Incorporating exercises that mimic everyday activities can maintain the ability to perform daily tasks, contributing to independence in later life.

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Combining these exercises offers a comprehensive approach to maintaining physical health, crucial for enhancing longevity [10]. 

This blend ensures cardiovascular, muscular, and functional fitness, each contributing to a longer and more active life.

Closing thoughts

Embracing exercise as a key component of your lifestyle transcends mere physical fitness; it offers a comprehensive path to enhanced longevity and overall well-being. 

As shown, the benefits of regular physical activity reach far beyond those of medication, positively impacting heart health, mental wellness, immune function, weight management, musculoskeletal strength, sleep quality, and cognitive health. 

By choosing exercise, you’re not just investing in a healthier body, but also in a more vibrant, fulfilling life. 

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It’s a natural, sustainable approach that nurtures both the mind and body, paving the way for a longer, healthier future.

FAQs

Does exercise help longevity?

Yes, exercise significantly contributes to longevity. Regular physical activity improves cardiovascular health, strengthens muscles and bones, enhances mental well-being, and boosts immune function, all of which are key factors in extending lifespan and improving life quality.

Is cardio best for longevity?

Cardiovascular exercises are excellent for longevity as they improve heart health and overall endurance. However, for optimal benefits, it’s best to combine cardio with strength training and flexibility exercises to address all aspects of physical health and wellness.

How can I improve my body’s longevity?

To improve your body’s longevity, engage in regular physical exercise including both cardio and strength training, maintain a balanced diet rich in fruits, vegetables, and whole grains, and ensure adequate sleep and stress management. Additionally, avoiding smoking and excessive alcohol consumption is crucial.

Is it better to exercise longer or more frequently?

It’s generally better to exercise more frequently rather than for longer durations. Regular, consistent exercise sessions, even if shorter, are more effective for sustained health benefits, injury prevention, and habit formation, compared to occasional, longer workouts.

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[1] https://www.hopkinsmedicine.org/health/wellness-and-prevention/exercise-and-the-heart
[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1470658/
[3] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6523821/
[4] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556592/
[5] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1402378/
[6] https://www.bonehealthandosteoporosis.org/preventing-fractures/exercise-to-stay-healthy/weight-bearing/
[7] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4341978/
[8] https://www.health.harvard.edu/blog/regular-exercise-changes-brain-improve-memory-thinking-skills-201404097110
[9] https://www.healthshots.com/how-to/practice-these-5-exercises-daily-for-a-longer-life/
[10] https://www.independentage.org/get-advice/wellbeing/living-well/staying-active-later-life

The information included in this article is for informational purposes only. The purpose of this webpage is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

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Fitness

5+ ways to achieve your health and fitness goals and stay active in Auckland

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5+ ways to achieve your health and fitness goals and stay active in Auckland


From the court to the coast, Tāmaki Makaurau is teeming with ways to stay active and thrive. If your New Year’s resolution is to make 2025 the ‘Year of You’ by focusing on health and wellbeing – or if you simply want to change up your current fitness routine – these Auckland activities will help you raise your heart rate while also making your heart sing.

If you plan to pair your exercise with a dose of vitamin D, there are plenty of parks and maunga that are the perfect location for you to step into action. Many parks around Auckland also have outdoor exercise equipment available, ranging from calisthenics equipment for training using your body weight, to outdoor machines such as a leg press and an arm cycle. If you’d prefer to have options for rainy days, then consider joining a gym at your local Auckland Council Pool and Leisure Centre.






At Marlborough Park in Glenfield, you can try out the exercise equipment such as the leg press while the rest of the family plays on the basketball court or playground.

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Keen to make some net gains in your exercise routines? Consider smashing your fitness goals on the court. Tennis is fantastic cardiovascular exercise and it’s also good for strength, agility and mental stamina – especially when you’re challenging a friend to a match. There are more than 60 tennis courts around the region ready to serve. If you need racquets, why not visit your local Community Recycling Centre to find an ace second-hand option.






There are many tennis courts around Auckland great for a smashing good game, including at Mt Eden’s Nicholson Park.

There are many tennis courts around Auckland great for a smashing good game, including at Mt Eden’s Nicholson Park.





Want to try something new? Try Pickleball. This fast-growing sport can be played at several Auckland Council Pool and Leisure Centres, and is a hybrid of tennis, table tennis and badminton. Played using a paddle and a wiffle ball, this fun sport is good for all ages, but it is especially suitable for seniors as the serve is underarm (easier on shoulders) and the court is slightly smaller.

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Pickleball is one of the fastest growing sports and is good for all ages.

Pickleball is one of the fastest growing sports and is good for all ages.





Whether you’re hooked on BoxFit, kicking into gear at Body Combat or getting your fitness en pointe in a Barre class, there are a multitude of group fitness classes held at Auckland Council Pool and Leisure Centres across Auckland. Working out in a group is a great way to stay motivated, form an exercise routine and have fun, and there are classes dedicated to all fitness levels and age groups.






A FlexiFIT group class is a fun way to stay limber.

A FlexiFIT group class is a fun way to stay limber.





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Take your workout to new lengths by swimming in one of Auckland Council’s public pools. Swimming is a full-body workout that is also low impact due to the buoyancy of the water. There are pools across the region, and in summer there are also locations such as Parnell Baths and Point Erin Pool – ideal for beating the heat.






The outdoor swimming lanes at Point Erin Pool are great way to cool off in summer while getting a dose of vitamin D.

The outdoor swimming lanes at Point Erin Pool are great way to cool off in summer while getting a dose of vitamin D.





Aqua fitness classes are a low-impact option well suited to those living with arthritis, struggling with obesity, recovering from an injury – or who simply like to cool off while exercising.

Hit the ground running in 2025 by pounding the pavement or the tracks. AKL Paths can help you find a path near you – the website helpfully states the amount of kilometres, walking steps and minutes of each track to help you meet your goals.

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Okahu Bay Reserve is a great running spot.

Okahu Bay Reserve is a great running spot.





For added motivation, why not set yourself the long-term goal of running in the Auckland Marathon in November? And to take your mind off your burning legs, try listening to an audiobook from Auckland Libraries while on the move.

With around 3200km of coastline, Auckland’s harbours, beaches and rivers are beautiful places to keep fit. Surfing or boogie boarding is not only fun but also an excellent workout – paddling exercises your shoulders, back, chest and arms, and balancing on the board works the core. The crumbly waves and beach breaks at Omaha and Ōrewa make them good options for beginner surfers. Piha is an internally renowned surfing beach, but due to its strong currents it’s best suited to advanced surfers.

There are lots of other ways to keep fit on the Auckland coast such as stand up paddleboarding at Takapuna Beach or kayaking at Ōrākei Basin (check the flushing schedule).

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Before taking to the water always check the conditions at Safeswim and if there are lifeguards on the beach make sure to swim between the flags.






Ōrākei Basin is a great spot for kayaking. The flushing schedule shows when the basin will be tidal and the online schedule also shows when the basin is used for waterskiing.

Ōrākei Basin is a great spot for kayaking. The flushing schedule shows when the basin will be tidal and the online schedule also shows when the basin is used for waterskiing.



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Is hot yoga good for you? What to know about the benefits, potential risks and more

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Is hot yoga good for you? What to know about the benefits, potential risks and more

Yoga can be challenging to begin with, but doing it in a heated room can feel next-level intimidating.

Like most forms of exercise, hot yoga comes with benefits as well as risks to know about prior to your first class. The heated mind-body practice is beloved by some, while it’s a hard skip for others. But is it for you?

Read on to learn more about what is involved in hot yoga, any benefits and risks associated with the practice and a glimpse at what you could see in class.

What is hot yoga?

Hot yoga is just what it sounds like — yoga done in a heated room.  

The practice was popularized by Bikram yoga, a hatha-style class done in a 105-degree room with 40% humidity, consisting of 26 postures and two breathwork sequences. Bikram, named after its controversial founder who was the subject of the 2019 Netflix documentary, began in the 1970s, and many other practices of hot yoga have since emerged.

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The length, temperature and yoga style that make up a hot yoga class is largely dictated by the studio you’re practicing at.

At Modo Yoga LA, for example, the temperature is kept at 99-100 degrees and 40-60% humidity, a formula that its co-founder Alice Toyonaga describes to TODAY.com as accessible, sustainable and follows one of their pillars, “be healthy.”

Toyonaga says their studios offer hot yoga classes in traditional yoga styles, such as hatha, vinyasa and yin, but also hybrid series that incorporate other workouts, such as HIIT or Pilates, in a heated room.

“Just like with everything else, not all hot yoga is created equal,” Toyonaga explains. “And so, quite often, we’ll have people who’ve been like, ‘Oh, I tried this, and that wasn’t for me.’ And that’s absolutely fair, and it doesn’t mean that one type is right or wrong.”

Hot yoga temperature

In Bikram hot yoga, poses are performed in a 105-degree room with 40% humidity. For other hot yoga classes, the studios determine the temperature. While Cleveland Clinic reports that the room for hot yoga is typically heated between 90 and 105 degrees, the temperature can go lower or higher than that range.    

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Room temperature for hot yoga typically ranges between 90 and 105 degrees. Tom Werner / Getty Images

Is hot yoga good for you?

The physical and mental benefits of doing yoga apply to its heated version. Common pros to the practice include building muscle, toning, increasing flexibility, dealing with the stresses of daily life and practicing mindfulness. But some of those benefits are amplified in elevated heat.

Improved flexibility

When exposed to higher temperatures, Toyonaga says muscles become more flexible and joints increase their range of motion.

“While there are definitely demographics of people who do yoga who are already quite flexible, what they need to work on is, let’s say, strength over mobility,” she continues. “We are working on a computer. We’re hunched over. We are behind the wheel of a car here in LA. So there’s just a lot. We’re just a static culture, so to speak.”

“And so, we do need any little assist to our range of motion to get a deeper stretch within poses,” she continues. “The heat is definitely something that helps to do that.”

Improved heart health

Another plus to doing hot yoga is that it’s more physically demanding and therefore makes the heart pump faster, which can improve cardiovascular health, as long as there are no preexisting conditions.

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Reduced stress

Beyond the physical benefits, hot yoga can also help one’s mental state through the adversity faced inside of a heated room and the de-stressing that comes with it.

“It does play a big psychological role in that you are overcoming this challenge and adversity with your breath, and you’re doing that on your mat,” Toyonaga says. “It’s a controlled environment, but what an awesome lesson that we can take with us in line at Trader Joe’s.”

She added: “I feel like a lot of the times, with the heat and we’re trying to get through this class, we are in a way becoming more present than when we’re off of our mats because we are focused on this next breath, this next pose, this next sequence, and being that embodied and that present really helps us get out of our own way and (is) a really nice way to destress.”

Are there any risks or dangers to hot yoga?

When thinking about doing a hot yoga class for an extended period, you might be wondering if the heated practice comes with any health risks.

First, and most importantly, if you have any specific concerns or underlying preexisting conditions, always check with your doctor before taking a hot yoga class.

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A common risk when it comes to practicing hot yoga is dehydration, due to the loss of water weight from sweating in high temperatures and humidity. This can lead to feeling faint or ill during class.

Toyonaga stresses the importance of having an ample amount of water before and after class, because if you start to feel unwell during the practice, you might already be dehydrated and “drinking during that yoga class is not going to make much of a difference.”

While heat helps muscle flexibility and loosens joints, Dr. Jordan D. Metzl, a sports medicine physician at Hospital for Special Surgery, says it’s important to avoid exaggerating your stretches at the risk of injury.

“The risk is you can overstretch a hamstring or a quad or a hip, and sometimes put yourself in a position where you’re getting a little more stretch out of that muscle than it’s used to being,” he tells TODAY.com.

“You can sometimes make an injury a little more pronounced than it would normally be because you get the position a little more exaggerated than you normally would be because you don’t feel it as much when you’re in that really hot environment,” he continues.

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Metzl gives simple advice to prevent yourself from going too deep into stretches: Listen to your body.

“You just have to be smart about not looking at the person next to you and trying to emulate them,” he continues. “Just listen to your body … to make sure you’re not overdoing it, and just being mindful that you’re not feeling really faint or it’s too much for you, especially at the beginning.”

Natalia Perez-Segnini, a yoga teacher, functional and therapeutic breathwork coach, Tone House coach and mindset guide, encourages taking a rest or stepping outside the studio, if you start to feel unwell.

“Stop, lay down, get in child’s pose, Savasana, a restful position for you and find your breath again,” she tells TODAY.com. “And when you’re able to feel that steady flow within your inhales and your exhales, then ask yourself if you want to try it again.”

Woman Touching Toes During Hot Yoga Class.
Hot yoga has both benefits and potential risks that first-timers should be aware of before trying the heated practice.Tom Werner / Getty Images

What should beginners know before going to class?

 In addition to staying hydrated before and after class, and understanding the potential risks of the practice, people who are new to hot yoga should generally take their first few classes slow and focus on adjusting to the temperature.

“The first three to five classes, you’re getting used to the heat. That’s what you’re doing,” Toyonaga says. “You need to rest as much as you need to rest in that room, so that we’re getting used to the heat. So if you lie there for the whole hour, just pretend you’re on the beach in Mexico. You’re still doing it.’”

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Perez-Segnini emphasizes that for all yogis, but especially beginners, it’s important to pay attention to how they feel throughout the course of the practice.

“This practice, hot yoga, regular yoga in general, is less about the shapes that you’re making with your body, and more about what you feel in your body,” she explains.

Perez-Segnini says that when she first started taking up hot yoga, she wishes someone told her that you don’t have to stick to just one intention, but rather figure it out as you go.

“In class, in the middle of a posture, halfway through, after, you’re allowed to change your mind about the why,” she says. “You’re allowed to change your mind about what you’re doing, and if that means coming out of a pose because you don’t feel great, or realizing that you’re taking it too far … there’s always time to change our minds, no matter where we’re at in life, no matter where in class we are.”

What to wear to hot yoga

What do you wear while exercising in an over-90-degree room for an extended period of time? When in doubt, go with something that you feel comfortable in — and avoid cotton.

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“What we will see in the hot room will be more technical fabrics, like things that you would wear to the gym, as opposed to cotton,” Toyonaga says. “A lot of our favorite brands have sweat-wicking clothing, whether it’s tights or shorts, sports bra, a tank top, T-shirt, whatever it is.”

Perez-Segnini says that while it may seem “counterintuitive,” she wears a sports bra paired with pants, which absorb her sweat and gives her more traction.

“If there are any arm balances in class, (there’s) no shot I’m able to pop up into crow with shorts on because I’m sweating so hard, and then that’s dangerous, because you’re slipping off of your own skin,” she explains. “There’s more traction, you have more grip available, depending on the posture that you’re in, when you have skin to fabric contact.”

However, Perez-Segnini says that everyone has different preferences, and that finding what works best for you clothing-wise is part of the process.

A man sitting on his towel and twisting backwards while performing a pose in a hot yoga class.
Comfort is most important when it comes to deciding what to wear to a hot yoga practice.Tom Werner / Getty Images

Poses in hot yoga classes

Just like in any yoga class, the postures you’re asked to do will vary by location and instructor, and there aren’t any poses specific to hot yoga itself. However, here are some common postures to get you in the right mindset for what’s to come.

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Can a Tampon Fall Out During Exercise? | Well+Good

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Can a Tampon Fall Out During Exercise? | Well+Good

If you’re a person with a period and a penchant for exercise, odds are you’ve wondered: Are there any risks to working out with a tampon?

The short answer is that it is safe to exercise with a tampon in, and it shouldn’t fall out—as long as you insert the tampon correctly and switch it out often enough, that is. Otherwise, there are rare instances when the menstrual product could shoot out of your coochie faster than soda out of a Coca-Cola bottle during a baking soda experiment.

We spoke to a team of obstetrics-gynecology and pelvic floor specialists to answer your questions about wearing a tampon while you exercise. Ahead, what every person with a monthly gym membership and menstrual cycle needs to know.


Experts In This Article

  • Aldene Zeno, MD, FACOG, double board-certified OB/GYN and urogynecologist in Los Angeles, California
  • Heather Jeffcoat, DPT, doctor of physical therapy, owner of Femina Physical Therapy, and author of Sex Without Pain
  • Shannon Chavez, PsyD, CST, licensed psychologist and certified sex therapist
  • Sherry A. Ross, board-certified obstetrics-gynecologist and co-founder of Oneself & the Women’s Health & Wellness School on the Mproov app

First up: Is it safe to wear a tampon while you exercise?

This past summer, fear-mongering headlines about “toxins” in tampons were as rampant as lime green manicures (case and point), leading many people with periods to wonder if their go-to menstrual product is safe to wear in or out of the gym. Despite clickbait to the contrary, “tampons are safe,” says double board-certified obstetrics-gynecologist and urogynecologist Aldene Zeno MD, FACOG, owner of and surgeon at Essence Health and Urogynecology in Los Angeles.

An August 2024 study1 published in Environment International reported trace amounts of arsenic, lead, mercury, nickel, copper, and iron in tampons. However, “concerns about the amount of toxins found were exaggerated by the media,” says licensed psychologist and AASECT-certified sex therapist Shannon Chavez, PsyD, CST.

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The levels of these metals measured in the 24 tested tampons were minuscule. “The amount of trace metals found in the tampons is a fraction of what is permitted by the Environmental Protection Agency,” says Dr. Zeno. Not to mention, the levels aren’t higher than the trace amounts of metals found in our tap water, bottled water, green and black tea, most food, and even our air, she says.

“This study also didn’t test for the ability of these metals to leach into the body’s circulation, and according to the study authors, no studies have assessed risk of vaginal exposure to metals,” says Dr. Zeno. Meaning, there’s no proof that the chemicals actually make their way into your system through your vagina.

All that said, “yes, it is safe to exercise while wearing a tampon,” says Dr. Chavez. To date, there’s no scientific evidence suggesting any risk from wearing one during exercise, she says. Beyond just being safe, when worn correctly, tampons can help an individual feel secure, low-stress, and supported while exercising, says Dr. Chavez. This is important because “the benefits of exercise while menstruating are well-documented2,” says Dr. Zeno.

Fears of your tampon safety or security shouldn’t keep you from the gym.

So… can a tampon fall out during exercise?

No, it shouldn’t. “Tampons are designed to stay in place when your body moves, including during intense movement and exercise,” says Dr. Chavez. So, whether you’re lifting weights or doing cardio, working out on land or in water, at low or high intensities, your tampon should stay put, she says.

That said, there are a few rare instances when a tampon could fall out during exercise. Here are four reasons a tampon could fall out while you exercise.

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1. The tampon isn’t inserted correctly

The most common reason for a tampon to fall out during exercise is that it wasn’t inserted correctly, according to Heather Jeffcoat, DPT, a pelvic floor therapist who specializes in incontinence and dyspareunia and the founder of Fusion Wellness & Physical Therapy in Los Angeles.

When inserted properly, a tampon will rest in the upper third portion of the vaginal cavity so that the top end of the product is near the cervix, says Dr. Zeno. “The vagina is shaped like an upside-down hockey stick, so this top portion of the vaginal canal is actually at a 45-degree angle to the floor when in a standing position, which helps keep it in place,” she explains. With that, “not inserting the tampon applicator deep enough into the vaginal canal before using the plunger to push it inside of your body could lead the tampon to fall out during exercise,” says Dr. Jeffcoat.

The good news: When a tampon is placed too low, you’ll be able to feel it, as the lower third is much more sensitive, says Dr. Zeno.“When it’s in the right place, you can’t feel it at all.”

2. The tampon is too saturated

Typically, tampons enlarge when they absorb fluid, which actually helps them stay in place, according to Dr. Zeno. However, if they become overly saturated, they can shift or fall out, she says.

To be clear, that doesn’t mean that you need to forgo exercise altogether if your flow is heavier than Ilona Maher’s deadlift. But “you may not be able to participate in an extended duration of exercise without stopping to replace your tampon due to saturation,” says Dr. Jeffcoat.

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If stopping to replace and dispose of your tampon mid-workout isn’t feasible for you—for instance, because you’re an endurance event athlete going for gold—you might consider a menstrual cup or period panties, which can hold 3 to 12 times more than a regular tampon, respectively.

3. You have an underlying pelvic floor issue

The pelvic floor muscles are a complex network of muscles at the base of the pelvis that support bladder, uterus, vagina, and bowel (pelvic organs) placement and function. When these muscles are functioning optimally, they can contract and relax much like any other muscle in the body. But when there is an underlying issue, tampon placement, location, and security can all be affected.

Having overactive pelvic floor muscles—which essentially means having pelvic floor muscles that are “locked” into a contracted position—can make inserting a tampon difficult, says Dr. Jeffcoat. Caused by things like chronic stress, pelvic floor injury, or trauma (e.g., following childbirth or a car accident), habitually poor posture, or another pain-causing condition (e.g., endometriosis), having overactive muscles can lead individuals to place the tampon in the front-half of the vagina, which can lead to expulsion, she explains.

Pelvic floor muscle weakness can also lead tampons to fall out, according to Dr. Chavez. Usually, when this is the underlying cause, an individual will experience additional symptoms such as leaking urine, difficulty controlling the bladder, or a feeling of heaviness in the pelvis, says Dr. Chavez.

In both cases, working with a pelvic floor therapist can help. Likely, they will suggest a series of at-home pelvic floor exercises and diaphragmatic breathing, which can support muscle tone and improve comfort with using a tampon during exercise, says Dr. Chavez.

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4. You’re bearing down while you lift

From better balance to boosted bone health, greater confidence to improved cardiovascular function, there’s no doubt that strength training offers tons of health benefits. Unfortunately, lifting with improper form can short you of those perks—and, yes, in certain instances, even cause your tampon to fall out.

Whether you’re bleeding or not, one of the riskiest things to do while lifting heavy weights is to bear down, or forcefully contract your abdominal, diaphragm, and pelvic floor muscles while holding your breath. This puts undue pressure on your back and pelvic floor muscles and incidentally cause your tampon to shoot out, says Dr. Zeno. (FYI: The pressure caused by bearing down can even lead to hemorrhoids and anal fissures).

Broadly speaking, rather than bearing down while you lift, experts suggest bracing your core. This allows you to engage all of those muscles and protect your spine without compromising your back, pelvic floor, or tampon position. Because bracing your midline while you lift requires complex coordinated muscle movements, Dr. Zeno recommends working with a fitness professional to learn how to lift correctly. “I highly recommend working with pelvic physiotherapists if you’re experiencing tampons falling out while you lift,” she says.

“I highly recommend working with pelvic physiotherapists if you’reexperiencing tampons falling out while you lift.” —Aldene Zeno, MD, FACOG

Do I ever need to avoid exercising while wearing a tampon?

Fears of your tampon safety or security shouldn’t keep you from the gym. However, there are times when your menstrual symptoms can (or should!) sideline you from your workout, according to says board-certified obstetrics-gynecologist Sherry A. Ross, MD, FACOG, co-founder of Oneself & the Women’s Health & Wellness School on the Mproov app and author of She-ology and The She-quel.

While exercising on your period can usually help symptoms, if you’re experiencing breast tenderness, headaches, painful cramps, or your flow is heavy and you’re passing clots, it’s important to listen to your body, she says. Meanwhile, it can be downright dangerous if your period is causing you to feel weak, tired, nauseous, or dizzy, as exercising safely requires energy, balance, and focus, she says.

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The takeaway

At the end of the day, there is no reason to avoid exercising while wearing a tampon as doing so is safe, and the risk of expulsion is quite low. Just be sure to insert the tampon properly and change it regularly. If you’re struggling with tampon ejection, consult a pelvic floor therapist who can help suss out any underlying dysfunction, as well as suggest pelvic floor exercises and stretches, and other lifestyle interventions that can help you.


Well+Good articles reference scientific, reliable, recent, robust studies to back up the information we share. You can trust us along your wellness journey.


  1. Shearston JA, Upson K, Gordon M, Do V, Balac O, Nguyen K, Yan B, Kioumourtzoglou MA, Schilling K. Tampons as a source of exposure to metal(loid)s. Environ Int. 2024 Aug;190:108849. doi: 10.1016/j.envint.2024.108849. Epub 2024 Jun 22. PMID: 38963987.

  2. Huang WC, Chiu PC, Ho CH. The Sprint-Interval Exercise Using a Spinning Bike Improves Physical Fitness and Ameliorates Primary Dysmenorrhea Symptoms Through Hormone and Inflammation Modulations: A Randomized Controlled Trial. J Sports Sci Med. 2022 Dec 1;21(4):595-607. doi: 10.52082/jssm.2022.595. PMID: 36523895; PMCID: PMC9741723.


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