Huge update. After a year of suffering, my gynecologist suggested that I do some vaginal estrogen, as well as regular estradiol on the skin with progesterone, and that the surges were Actually, hot flashes at night. Within four days all of my symptoms completely stopped and disappeared. Now I just need to get off the Clonopin at night. For you perimenopausal and menopausal women out there the podcast called Perimenopause WTF? helped me figure this out with this gynecologist. It is invaluable. Good luck, everyone.