See a doctor if you:
•Have a history of depression, premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD).
•Begin to have irregular menses or notice other changes, such as heavier-than-normal or lighter-than-normal bleeding, bleeding between periods, or prolonged menses. These symptoms could be due to other problems not related to perimenopause.
•Feel anxious, irritable, panicky, teary and depressed or suicidal.
•Experience problems with sleeping, such as waking up early or in the middle of your sleep cycle and finding it hard to go back to sleep.
•Experience problems with sexual satisfaction, painful intercourse, or decreased interest in sexual relations.
Remember: A combination of things can help ease perimenopausal depression, from regular exercise to psychological counseling and medication.