Can anyone advise what has helped them with perimenopause? I am 44 and have been on 2 pumps of oestragel for around 18 months. I have a mirena coil and this has stopped my periods which is obviously great but I am now struggling with brain fog, more hot flushes, poor sleep, irritability, apathy, feeling really "vacant" if that makes sense. The gel has helped with all the aches and pains I was having, and palpitations, but feels like I have recently gone up a level with the symptoms and I am not sure what else I can do. I have a GP appointment on Friday. Any tips greatly appreciated!