Angela and Clare,
I read several books when I started this peri-menopause journey, and read how it affects everyone differently. The common factor though is the imbalance of estrogen, progesterone and testosterone that occurs as your body prepares for menopause. My tests revealed my levels of all horomones were dwindling, therefore, the LD BC pills worked for me.
I know there are dangers of taking synthetic horomones, but for me it was a "quality of life" decision. I suffered from panic attacks in my early twenties that I eventually overcame, but they started recurring. The doctor said it was a common symptom during peri-menopause. If you have a tendency to be anxious or depressed, you can experience symptoms in an exaggerated fashion during peri-meno. She said it's your body is looking for the estrogen, cannot find it and therefore it becomes stressed. Yes, the same thing that causes hot flashes. My other symptoms were sleeplessness, weight gain, mood swings, getting extremely angry over the stupidist little thing (poor DH), yeast infections, UTIs, acne and vaginal dryness. Interestingly, these symptoms from month to month were either simultaneous or just a couple symptoms at a time, doctor said it was again, due to fluctuating horomones that can be controlled taking BC pills.
Since starting them about 3 years ago, I am finally under control and feel really good. I make sure I have my mamograms and paps and keep my fingers crossed. I exercise religiously, eat right, get the sleep I need and hope for the best.
The book I like best is "The Power of Peri-Menopause" by Stephanie Degraff-Bender. I found it informative and unbiased as to treatment options.