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[quote=Anonymous]OP sorry if you mentioned this somewhere else in the thread but do you also have kids? I am going through something similar and I also have hormonal migraines that have become exponentially worse with perimenopause. When I say I have tried everything but a complete hysterectomy or chemical menopause I absolutely mean it.

One thing that I suspect compounds things is having babies later in life at the edge of perimenopause. Maybe just my anecdotal experience of 1, but with my history of PMS/PMDD, I also had PPD/PPA with my last two babies and a late first trimester loss between 36-39 and now am in the thick of having young kids while also dealing with all of this - it is a HUGE hormonal roller coaster in the span of 5-10 years. Not a recipe for a great marriage. I have a Mirena IUD that really helps with bleeding but I have no clue if the synthetic hormones are helping or hurting the psychological and physiological symptoms. Same as you, there are times when just looking at DH fills me with rage. Something as simple as him leaving the bathroom light on and I want to move to another country.

The ONE thing that I know helps me is super exertive cardiovascular exercise. Not a walk with a podcast or some yoga. Brutal, punishing, 45-60 minute death march (like HIIT with heavy lifting, very intense Peloton ride or run). It is the hardest thing to maintain and I hate to admit that after all the inputs I've tracked over time it's the one variable that has made a significant difference. And again, I have done all. the. things - multiple meds and supplements, multiple providers, holistic treatments, diet changes, therapy. I go to bed early and get up early to accommodate because I know if I don't something will happen to make me feel crappy enough to not get it done. I am a different person when I am not doing this regularly. Also, I track my cycles religiously with the simple app that's on my apple watch. They are pretty irregular but I have symptoms that offer some predictability and when I start to feel them I move into the guest room for a few nights. I make dinner and do all the kids bedtime stuff and then I retreat to my "menstruation hut".[/quote]

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