Another one who's started to suffer from tinnitus as perimenopause really hit me. It's been two years and I'm starting to really link everything together, feeling very wired even though I have no reasons to feel anxious/excited, very poor sleep - I get through the motion, get to the point of closing my eyes and feeling very sleepy, and then suddenly am wide awake and after that, i can kiss good bye going back to sleep for hours -, heart rate that goes particularly low and then suddenly high, tinnitus and tingling in my fingers.
It got me really worried something was very wrong with me, was referred to ENT, then for MRI, blood tests etc... but I am now starting to recognise the pattern and link it with the perimenopause. All my symptoms are worse the times I do believe I might still be ovulating when progesterone makes an appearance and then disappear.
I tried hrt but it didn't help, I struggle even worse on and after the progesterone. I feel much better since I stopped and now just accept to live with it, reassuring myself it is bound to get better at some point!