Have you tried any of the topical Estrogen creams? My sister has had good results with it. (she is through meno now, but had a rough time with peri for many years leading up to it)
You may want to give this OTC a try while you research what your next step may be. You are currently not on an A/D, right? Which ones have you tried in the past? Everyone is different...and sometimes it just takes trial and error to find a compatible match for yourself.
Here's an article on the benefits of taking a low dose of SSRI or other A/D for Peri/Meno…https://www.healthline.com/health/antidepressants-for-menopause&ved=2ahukewiol4bt3l3eahxmjfqkhbgbcdwqfjamegqicbab&usg=aovvaw1ax8g_uii8dkp0ks-gxhbd
I hope you find the answers and relief you need soon!
"Courage is not the abscence of fear, it is feeling afraid and doing it anyway!"
"Worrying does not empty tomorrow of its troubles...it empties today of its strength."
Corrie Ten Boom
Panic Syndrome recovery due to CBT