Frustrated

So I’m 46 have 3 grown kids from 26 to 19. I have night sweats every night multiple times during the night. I have only experienced one episode of a hot flush during the day. My periods are still quite regular and usually on time. A month ago I got my period 14 days after my last one. It was so heavy and painful like a crime scene basically. My weight goes up and down. My poor husband doesn’t know how to deal with my sexual moods, sometimes I can’t get enough and other times I can’t stand the thought of sex. I find little things annoy me for no reason. Drs day I’m peri menopausal but refuse to do a hormone test. I take 225 mg daily of venafelaxine for anxiety and panic attacks. Not sure if that’s spelt right. Are there any natural medicines or even prescription meds I can talk to my dr about?