NC regular here to share some anecdata 
I use cannabis fairly regularly (2-3 times a week) and am also perimenopausal, I don't specifically use it for meno symptoms, I just use it recreationally.
Which symptoms are you most concerned about? IME it's good for some but bad for others.
I have found in recent years that cannabis exacerbates memory problems quite a lot, contributes to depression by turning me into a bit of a stay-at-home and makes it harder to keep the weight off.
On the positive side, I have found it beneficial for anxiety and insomnia and it has eased me through a few periods from hell.
It's had no effect on hot flushes or night sweats.
Smoking it is obviously a bad idea, although if you're already a heavy smoker it will make little difference. Otherwise, look into recipes or a vapouriser.
Things I have found beneficial are St John's Wort, Yoga and mindfulness.