Hi,
That is the tricky thing. I have been in late peri for about two years, nearly 50 now and very irregular bleeds but the range of symptoms I had and still have is really not something I expected. The main thing that helps me is exercise, which seems to have a levelling effect on symptoms (but sometimes I am too tired to do any exercise). I think I may be better once in post meno since at least then hormones are supposed to stabilise, so, from what have seen so far, peri is the real "trouble maker" for me. What can help with symptoms is cutting down on refined sugar, caffeine and alcohol, some exercise, even a brisk walk can help. I have recently started a low dose of HRT to see whether this helps but everyone is different, and different things work for different people. Also a low dose of magnesium and B vitamins can help. All the best, AG