Hello. Yes, I am also perimenopausal and everything seems to really intensify for me about a week before my period. I was finding that when my pain symptoms were improved, my mind would focus on the hormones and all the havoc I imagine they are creating. I read a book called Mind Over Menopause and I have discovered all the things I am learning to heal the TMS, also really helps with the menopausal symptoms. Meditation, exercise, good sleep, eating right... anything that quells anxiety and excessive worrying. I get chills occasionally, body aches, flu like symptoms, brain fog...and I have been treating it just like I do the pain. I try to stay present, focused on what is going on with me emotionally and use meditation and refocusing to reduce obsessive worrying.