The reason that I'm saying this (and, hopefully, someone else will have another explanation for it and will chime in) is that during perimenopause, the most likely cause of these symptoms
is a drop in progesterone faster than estrogen
dropping. So, when that happens, adding extra progesterone is likely a good thing. However, during the post menopause era, estrogen levels (and especially after weight loss) have usually dropped as well to a more balanced ratio with progesterone.