No HRT

43f. Not even close to being myself anymore. Symptoms are chin and chest hairs, major hair loss, more painful periods. Emotional, some insomnia. Vaginal dryness. Low to 0 libido. I had labs done about 3 yrs ago and all looked in normal range. I suffer from anxiety but it has become severe, I was hospitalized for panic attacks 1.5yrs ago. I think I might be experiencing perimenopause but I’m scared to add HRT or BC to the mix and make myself worse. I can’t even work anymore, barely drive and I have a CDL. My anxiety is barely controlled with the current medications. Actively working with my psychiatrist to find the right fit. I’m wondering if there are folks here going through peri without HRT or BC? How do you manage?