Worsening physical PMS symptoms a sign of peri?

I’m 38 and for the past year I have been getting new and more severe symptoms in luteal. These include nausea, severe cramps, migraines, severe joint pain, spotting, general exhaustion etc

I’ve been to the doctors and suggested perimenopause but they did a blood test which was negative. I’ve been told there isn’t really a reliable test though. They also said my symptoms wouldn’t just be in luteal if it was peri but I just think it’s bizarre that all these new symptoms start out of nowhere at my age.

Anyone else had this as a first sign of peri?