About Me

Natural Skincare for Perimenopause — Combining Eastern Wisdom and Modern Science

Hi, I’m Susan Monaco. I’m a licensed acupuncturist with many years in clinical practice, focused on women’s health, cosmetic acupuncture, and natural skincare. Over the years, I’ve supported women through major life transitions—from pregnancy and postpartum to perimenopause—helping them care for their skin, balance hormones, and feel more confident in their bodies.

Now that I’m in perimenopause myself, I know firsthand how much your skin can change. Dryness, sensitivity, breakouts, and early signs of aging can feel frustrating, and it’s easy to get lost in conflicting advice. I created Stem & Sanctuary to share natural, evidence-informed skincare solutions that combine the wisdom of Traditional Chinese Medicine with modern dermatological science.

I believe caring for perimenopausal skin is about looking at the whole picture—both inside and out. My approach draws on acupuncture, Chinese herbal medicine, qigong, and bodywork, alongside barrier repair, bioactive ingredients, and research-backed skincare routines. The goal is simple: practical, safe, and effective strategies that truly support your skin and overall wellness.

At Stem & Sanctuary, you’ll find honest guidance on products, routines, nutrition, and lifestyle practices—all aimed at helping women feel confident, nourished, and supported during perimenopause. Some of our most-read guides include: Best natural moisturizers, How to build a perimenopause skincare routine, Bakuchiol vs Retinol