What options do you have for perimenopause symptoms when you have tried hrt, bc pills, and antidepressants, and over the counter supplements? no luck!

Integrative medicine: You've tried a number of things for your difficulties. I don't know what kind of evaluations you've had before implementing these things, but it could be helpful to work with an integrative medicine physician. This could include nutritional, hormonal, mind-body, and other areas. You can find a board-certified integrative/holistic medicine physician through http://www.Holisticboard.Org/.

Perimenopause: Other options would be neurontin, (gabapentin) clonidine, & alternative medicines such as femarelle (mixture of soy & flaxseed), red clover & black cohosh. Also, acupuncture can be tried.

See below: Other herbs too such as vitex, chasteberry and dong quai too.