When I went to my doctor she put me on the pill to regulate my hormones. That did nothing for all of my other symptoms. I didn't want to keep going to the doctors office, so I did research. Then people on this board suggested two books that I checked out at the library. These books helped me immensely along with people on the board.
1) Ann Gittleman's "The Pause"
2) Dr. John Lee "What your doctor may not tell you about premenopause"
In these books they tell you of supplements, foods, exercise, etc that help alleviate perimenopause symptoms.
Others may have had success with their doctor and can give you sound advice.