I’m 48, sober a bit over 3 years. I had entered perimenopause before getting sober, and my symptoms improved the longer I abstained. I’ve focused on a healthy diet and exercise over the years, and I think it has helped. Basically, all the strategies to deal with stress help me cope with the inevitable moods and discomfort each month (or every 2-3 weeks, as is more common now).
Good times!
-bora