With the development of our society, people are putting more and more emphasis on women’s health. Perimenopause is a period that women must experience. When women are in perimenopause, their hormone levels will change greatly, resulting in obvious physiological changes, such as hot flashes, night sweats and other physical symptoms,such as muscle and joint problems, urinal system, and cardiac problems.In fact, there will be a series of psychological changes, such as depression, anxiety and so on, but most of the symptoms will be covered up by physical symptoms, leading to misdiagnosis and missed diagnosis. When patients have negative emotions, they will continue to have an impact on the development of the disease, and even accelerate the development of the disease, gradually forming a vicious circle.It is very important for perimenopausal women to do a good job in hormone supplementation and mental health care, and it is also the key to help perimenopausal women alleviate the physiological and psychological changes caused by menopause. MHT is the first-line recommended treatment, which can also be supplemented by other treatments, such as physical exercise, yoga, warm acupuncture, etc