t take BCP) or herbs, but have heard black cohosh...cohash...helps with hot flashes
. Hot flashes
were the worst symptom I had. I rarely have them now.
I've tried sleep meds (prescription and melatonin), but the Rx caused restless leg and I wake up after three hours with melatonin, so I just practice good sleep hygiene: dark room, reg sleep/wake times, no tech after about 8pm, etc.
I don't have anxiety with perimenopause, but if you do, addressing that might be appropriate.