Whole-Body Support for Perimenopause beyond Hormone Replacement Therapy (HRT)
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Are you not wanting to take HRT, can’t tolerate it, are on it but still having symptoms, or working with people in perimenopause who need support?
As a physical therapist, I’ve seen it again and again: people in perimenopause stuck in pain, anxious, exhausted from doing “all the right things”….yet still not moving forward. The only answer seems to be hormone replacement therapy (HRT). This can be extremely helpful for some people, but there are still many people who can’t tolerate it or need more support with it.
I learned through my own journey of experiencing perimenopause at an early age and with my clients that real change in this season doesn’t come from pushing harder or chasing protocols. It comes from understanding the body and its patterns, and how the fascia, blood sugar management, lymphatic system, digestive tract, hormones, and the nervous system all work together to feel our best.
We’ve been programmed to put ourselves last, to question our worth, and to push through instead of pausing.
Perimenopause calls BS on that. It’s the season to stop the selflessness society sold us and start actually understanding ourselves on a deeper level, one that we haven’t accessed before but didn’t know how.
In perimenopause, connective tissue becomes stiffer, blood sugar becomes harder to regulate, our gut can become impaired, stress takes a bigger toll, and the lymphatic system often becomes impaired restricting our natural ability to detox.
When we address these shifts directly: through nervous system regulation, restoring fascial and lymphatic mobility, supporting blood sugar balance, and building strength with intentional movement, we can finally feel progress that’s sustainable.
There’s no magic fix. But there is a better way, one that helps us reconnect with our bodies, rebuild resilience, and move through perimenopause with more strength, clarity, and confidence.
About Dr. Mary Grimberg PT, DPT, OCS
Dr. Mary Grimberg is an orthopedic and pelvic floor physical therapist and educator with over 14 years of experience. She’s board certified in orthopedics, a former orthopedic residency faculty member, a continuing education instructor for movement professionals, and a mentor to clinicians across all stages of their careers.
For decades, Dr. Mary lived with undiagnosed C-PTSD, chronic fatigue, ADHD, endometriosis, postural orthostatic tachycardia syndrome (POTS), and hypermobility.
After surviving cancer at 33, Hodgkin’s lymphoma and undergoing chemotherapy, she thought the hardest part was behind her, but what felt like out of nowhere she began to experience: a 25 lb weight gain, blood pressure spikes, cystic acne, debilitating periods, irritability, drastic gut changes and crushing fatigue. She was told this was normal and to “wait it out,” not realizing it was actually the early onset of perimenopause.
Instead, she discovered how fascia, blood sugar, the lymphatic system, stress, the digestive system, movement, and hormones all connect, and how addressing them together creates lasting change. By turning her own pain into a path of healing, she now helps people in perimenopause reclaim strength, clarity, and confidence, while also educating health and fitness professionals to better support this population.
Through her practice, ResilientRx in Austin, TX, and her continuing education courses, Dr. Mary is redefining perimenopause care. With her history, she learned to transform pain into respect for the body’s wisdom, understanding when we can heal ourselves, when to seek guidance from a healthcare team, and recognizing that true healing begins with understanding our patterns.
Check out the TMI Talk with Dr. Mary Podcast!
Welcome to TMI Talk with Dr. Mary, where we dive into non-traditional forms of health that were once labeled “taboo” or dismissed as “woo.”
Dr. Mary is an orthopedic and pelvic floor physical therapist and an Orthopedic Certified Specialist (OCS) who helps health, movement, and rehab professionals integrate whole-body healing by blending the nervous system and fascial system into traditional biomechanics to maximize patient outcomes.
She uses a non-traditional approach that has helped transform countless lives, addressing the deeper roots of health that often get overlooked in conventional Western training.
Because the truth is: we can’t teach what we haven’t lived or learned ourselves.
"TMI Talk with Dr. Mary" was previously known as "Sex and Wellness with Dr. Mary"