I have been wondering about this for a while now. Like seemingly lots of others on here. Am 45 and have the usual erratic periods (heavy or none for months), stupid headaches which go on for weeks and which painkillers don't touch, creaking and painful hands, feet, hips etc, wild mood swings. No hot flushes though. I had a test done for Rheumatism which was negative and saw my neuro (I have MS too...confusing the issue, that's for sure) who says it's nothing to do with it. Got my periods with 10 and that must make you use up those eggs more quickly, no? And now it all seems to become clear to me. This must be peri menopausal. Anyone else with wild headaches and pain like you've been run over by a bus? Oh, and I've put weight on!!! Shall I get HRT? Or can I be saintly and do this 'naturally'?