Perimenopause and menopause are natural transitions in a woman’s life, but they can come with a host of physical, emotional, and mental changes or challenges. Perimenopause typically begins in our 40s but can start earlier or later and can last several years or longer. It is the “journey” towards the “destination” of menopause, when reproductive function has ceased. Perimenopause is typically what women struggle with the most as this is when the internal circus is in full swing. Fluctuating hormones often lead to symptoms such as hot flashes, irregular periods, night sweats, sleep disturbances, mood changes, anxiety, brain fog and muscular tension. Despite common symptoms, every woman’s experience during this transitional phase is unique and, therefore, there is no “one-size-fits-all” approach to managing symptoms and supporting her through this new stage of maturation. Although there are medical interventions available (such as HRT), many woman also look for holistic approaches to support their health and well being. Massage therapy is one such powerful ally.