Not all women have problems. Many have only a few symptoms, and they may vary from month to month. There are dozens of remedies, many unproven. They work for symptoms of perimenopause and menopause. Perimenopause is a time to start thinking about changes you need to make to enjoy good health in the last half of your life.
Many doctors recommend a daily multivitamin.
Exercise is essential for good mental and physical health. Start slowly if you haven't exercised for a while. Work up to any form of weight-bearing activity, such as walking or cycling, three times a week. Start an ongoing discussion with your health-care professional. Find someone you are comfortable with who is willing to find what works for you.