What Causes Dizziness, Heaviness In Sinus And Pain In Forehead/cheekbones During Perimenopause?

I have been experiencing dizziness/lightheaded ears feel very full sinuses feel full off balance nausea this all started back in January when i started into full blown perimenopause my doctor feels that it is anxiety had some relief for a while when i went to emergency and they put me on 1000mg cipro for 2 weeks but it has since returned i get some relief from hot showers or sometimes if i have a good cry it seems to open my nasal passages i also experince bad headaches pain across the forehead in my cheekbones and sometimes in my upper neck area i have been trying to use a netty pot but have very little sucess as i cant get it to flow thru but when i do afterwards i have a smell in my nose that smells like dew worms after a heavy rain very odd i don't believe this is caused by perimenopause with anxiety as i have never had anxiety before