Please keep in mind that I am NOT an ob/gyn, or have any expertise in the medical field, but....my thoughts are that the changes you are noticing are more likely due to the Clomid than a medical condition. It is a pretty strong drug and has side effects in 30 year olds, not just for us ama-mama's.
Also, Vitex and Maca made strange things happen with my AF as well. I had a much longer cycle when taking Vitex and Maca. Also, I got a cyst on the cycle where I was taking Maca without Vitex. It could be just chance, but I'm off the Maca just in case. Not suggesting that you drop it, because I think it is doing wonderful things for some people. I just don't think it helped my own personal body chemistry as much.
Hope that helps some.
I honestly don't know what the physical symptoms of perimenopause are. I've just heard you get cranky. If that is the case, I've been there for years!
Debbie - 43
DH - 41