I feel for you.
I've been in peri hell for years. Feel like I'm losing time with my children, as I feel so ill a lot of the time.
I'm now going down the 'alternative' bhrt route. Been seen by a specialist clinic. Blood tests (day 21), scans... All very very expensive. .. I'm told my estrogen is fine. But my progesterone is very low.
The NHS will only suggest the pill or hrt... The estrogen part of hrt made me worse - makes sense now.
I have only recently started missing periods and when I do, my symptoms are bad for the whole month. Figures. No ovulation - no progesterone.
Whilst the majority seem to struggle with low estrogen and therefore hrt is a god send, I am not at that stage. I'm 45 now.
Have a look at the alternatives thread - a few of us been discussing this recently.
I'm not saying you are in the same position as me, but, if I'd only listened to the NHS (including meno clinic), I'd have had no further solutions. This impacts my life greatly every day and I want a solution.