@JinglingHellsBells I realise you are trying to be helpful but my GP prescribed low-dose SSRI a number of years ago to deal with PMT symptoms. Not perimenopausal symptoms which appear to have only commenced fairly recently.
That IS a recommended course if action
Also, as I mentioned in my post, the challenge is that some issues I am experiencing might be also explained (or at least partially) by other life events, so I need to take the wider view, in discussion with my GP (tomorrow!)
I did have hormone levels checked about 6 months ago, all normal but from my brother, who is an Obs/Gynae doctor, I understand that this isn't always very useful as hormone levels fluctuate & you are checking at a point in time.
As a side-note, you are entirely wrong about the use of ADs - they are recommended for use for PMT, either cyclically or taken constantly and also, often at sub-clinical doses, for anxiety.
A lot of what you are posting is helpful but you need to not be as directive in your approach - you aren't always right!
Finally you can't tell people they should be on a particular course of treatment. I'm open to considering HRT if needed. But I'll consider it & weigh up benefits / risks which all treatment has.
And while I expect you are correct that early menopause increases risks like osteoporosis, you need to be aware that there are a variety of ways to mitigate this - for example, if you regularly do weight bearing exercise, as I do, you greatly reduce this risk. Many women unfortunately don't.