Hello Jamie!
Well, I started Perimenopause with my first symptom and for a long time really only, night sweats, approx. 10 yrs prior to the END.
I had the maybe super duper form of PMS for possibly the last 5 yrs of Perimenopause, so much so that for the last 3 of those years, I started documenting my various symptoms on my google calendar. Good grief, at one time I was convinced I was bipolar, until I saw the actual pattern to the madness and it was based around my cycles then. There was rational me then irrational me. I was happy after a cycle ended as myself would return.
This is key, at least for me, looking back now. As I got closer to the "end" of peri (1 1/2- 2 yrs out from the END) I no longer felt better after a period....I'd stay "crazy" (my words to describe a range of emotions that I didn't seem able to control anymore..ugh!) and the cycles were all over the map, no real pattern any longer.
Roughly one year before the the cycles ended, but really 2 years before I'd be considered in true menopause, were the holidays and I felt like I was absolutely coming unglued for certain, physically and mentally. I was beyond the normal fatigue, weeping blob of a mess, my back ached, developed bilateral plantar faciitis that would come and go, eventually gained 25 lbs without changing my eating habits (now is starting to come off, yay!) and a few other issues that I never had previously
It was almost like I aged overnight, I was moody and oh my poor family...I wanted to cancel the holidays but didn't, as I was terrified as I had so many awful feelings going on inside.
I googled these symptoms and actually I think that is when I came across this site which has been an incredible blessing. I found a letter, not sure if it was on here or another UK site, from a woman who described her feelings and symptoms to the T.
I printed and took it with me to my GYN appt right after the holidays. I couldn't even speak at this point, I was weeping uncontrollably and simply handed him the printout. He smiled, said don't worry and slapped a HRT patch on me, I think it was a Combi patch. Eight days later I develop a huge painful breast cyst. I yanked that patch off and began my journey through various MDs, naturopaths, Intergrative med docs and while some things worked and still do, I honestly believe it my own case it was a matter of letting things shake out for themselves, which sounds horrifying, but not really (of course, I can say this now, looking in the rear view mirror) as like many women wrote on here, it will and does get better.
The fact that you say it is now back with a venegence, sounds like you are getting so close to the conclusion and I so understand that this is very uncomfortable for you. It is a very difficult time as while we are in the thick of it, it's impossible to believe we will ever get out of this, but again, we do. It's maddening as some of our friends breeze through this time and some of us have more of a challenge.
Honestly, I believe it teaches us or reminds us to be a bit more compassionate towards others, as we don't know what someone is going through. Sure has been a great reminder for me.
Sorry for the long winded version here but in answer to your question, from the very first night sweat to where I am today is a bit over 10-11 years. The last 1 1/2-2 years were the worst, but is the signal, it's coming to an end sooner rather than later! So be encouraged by that.
Now remember, I do have an occasional off day, but no longer am I wondering have I completely lost my mind. The body is adjusting to it's new normal. Heck, I am 57 and I am starting to feel really good again. Didn't believe I would ever see this day, but so grateful that what I was told was correct.
Thank you for your kind words and just know that you are closer to things leveling out than you may think at this point. Hoping that you have a smoother time of it, Jamie.
Anniexx