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For me, probably the defining symptom of peri menopause is the awful, sickening, dreads and jitters. At my lowest I woyld meerkat-wake before dawn feeling like I had just been told I had only a week left to live. The feeling of despair and hopelessness was awful. And of course you can't escape it because it's creeping around in your own head all the time.Even now that I am doing so much better on the BCP I still wake a good hour or more before I'd like. And while I don't get the dread and despair anymore, I feel preternaturally alert, not nicely sleepy.