I have been dealing with peri-menopausal symptoms for over 13 years. I have only had a handful of daytime hot flashes. My main and troublesome symptoms have been insomnia-- to the point of not sleeping for several nights in a row--, night sweats, and joint/muscle pain.
Around 2001-2 my symptoms were so bad that I had my endo test my estradiol level. It was undetectable. Weird because I was still having regular periods. I was sent to my gyno and was put on HRT-- estradiol and prometrium. I have also used testosterone cream.
HRT, for me, is a lifesaver. It has helped me get off Rx pain and sleep meds.
Since the beginning of this year night sweats and sleep issues have increased again. I think it's related to not having a period since December-- I hope saying that doesn't jinx things as I am 56 and have had periods since I was 11. I am beyond ready to be done.
A book that helped me:
Women, Weight and Hormones: A Weight-Loss Plan for Women Over 35: Elizabeth Lee, M.D. Vliet: 9780871319326: Amazon.com: Books