i don’t appreciate the current medicalization of natural life cycles. What we need is awareness that if women say they are having difficulties, they should be heard. Doctors should take the time, listen to symptoms, rule out serious conditions, and if nothing else explains the issues, talk about the pros and cons of hormonal therapy with the patient
Well, this is a good principle, to a point.
What will actually happen, if things have got so bad that they are affecting your life quite considerably, and you can't overcome being worried that it's just possible that a serious condition may be somewhere in the background, is more likely to be this.
You will first be told to lose weight, stop drinking any alcohol, and stop having coffee and tea.
If things don't pick up, the first line treatment is for anxiety, depression as a side order. You'll be given antidepressants, and perhaps, if indicated, the coil.
A lot of the time, these won't do very much for menopause, but they may cause weight gain, libido destruction, and sweating (as well as whatever else you went to talk about, which likely includes the 3 side effects anyway).
So you'll be told to exercise and lose weight...
If you can stay the course of this rolling around a few times, then you can pass go for actual peri or menopause, but they'll think you a pain in the ass for the lack of progress on the antidepressants.