Hi sharnbird
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
How erratic are your periods -ie how long is your cycle now - have you missed many periods? If you are well into peri-menopause ( ie periods are few and far between) then you should really consider HRT at some point due to your age (unless medically advised not to) - since any woman who reaches menopause below the average age of menopause ie 51/52, is advised to replace oestrogen at least until this age to help protect heart and bones.
Many of us experience that hot feeling before flushes and sweats start - I remember thinking - are these hot flushes - and then months later they started in earnest!
It might be an idea also to go to the doc and report your symptoms - especially related to the tiredness because they should offer blood tests to rule out other causes eg underactive thyroid etc, and maybe iron deficiency. Is your diet good? Now is the time to make changes to your lifestyle - diet, exercise, body weight, alcohol, smoking etc - if necessary - to make sure your body and health are in the best possible place as you enter this next phase of your life
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
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Hurdity x