I am perimenopausal. During this time I have developed tinnitus, sinusitus, conjunctivitus. And recently my joints are causing pain. My ankle, knees, wrists, fingers can suddenly hurt after a simple movement like picking up a book or walking. It often resolves within minutes but the ankles can hurt for a couple of days. When it happens the pain is excruciating. Also my big toes hurt most mornings and my joints can feel cold. It is worth mentioning that I have had an under active thyroid for 20 years. I am 50 years old. Any ideas? I would appreciate any suggestions as I am getting fed up generally feeling unwell and like I am constantly fighting some bug. Oh and I have had cystitis twice recently and I am very tired! Thank you for taking the time to read this :)