Peri-menopause, pregnancy or cysts?

Patient : I am 41 yrs old and had a tubal almost 16 yrs ago, the last few weeks I have been having the same symptoms as when I was pregnant with my two children... off and on throughout the day I have nausea, bloating, feeling full and not hungry, nose sensitivity, stronger taste buds, fatigue, back aches. My last few periods have been light, I have thought maybe fibroid cysts, but don't have the symptoms. Does this sound like peri-menopause?
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