When I first started to get symptoms of perimenopause, I'd wake up very early with palpitations and anxiety. This has mostly gone now - I still get a racing heart at times and background anxiety, but it's manageable.
Recently (the last week or so), I've started to wake up at around 6am and feel depressed. It's really not very nice - I go to bed feeling absolutely fine, but wake up with a sense of hopelessness. It lingers until I get up, and then fades. I'd say I feel better and better as the day goes on - maybe not feeling as good as I did this time last year, but ok.
Could it be hormones causing it? It started the week leading up to my period, and now I'm on day 3 and it's still happening.
I haven't started the oestrogen gel yet, and definitely don't want to go on antidepressants.