Takniteasy,
This is a subject with which I am intimately aquainted. I have been working through the transition to perimenopause and now menopause. I am now in menopause and feel that finally I am myself again.
I worked at finding a solution to common perimenopausal symptoms as they developed. At first I wanted to go all natural. I was able to control the hot flashes, etc with natural progesterone creme and remifemine (black cohash), diet and exercise.
At one point last April the symptoms escalated and the hot flashes became unbearable, but worse of all I felt mental dull. At that point I decided to try hormone replacement. I went to the Md who did blood hormone level. She told me I was in menopause. The hormone replacement helped, but the I started to gain some wt and lost my libido. I asked and got an rx for testosterone creme. This helped but the doctor rx'd to strong of a dose, so I got some sides. Finally I am using the right dosage of estrogen/ progesterone/ and testosterone and I feel great!!!
I feel like myself again. I have energy and am upbeat and can think.
Through all this I continued to have a fairly clean diet and I exercised. I continue to put on muscle, even though slowly. My lifts are still increasing. All is well at this point.
I can't emphasize strongly enough that you should not settle for feeling bad during this stage of your life. Between lifestyle modifications, vitamins and herbal supplements, and hormone replacement you should be able to feel good and healthy.