Thanks for the query to H.C.M. Forum.
Since you are just 33 years old and all these symptoms , mentioned in query don't indicate peri menopause
All these symptoms are due to P C O D ( Poly cystic Ovarian Disease
Clearly , you mentioned that there is ovarian cyst
Hot flushes and dizziness
may be due to tension ( disease related).
In P C O D patients there develops dysfunctional uterine bleeding
( may be irregular or scanty bleeding).
Alteration in ratio of F S H /LH hormones.
Decrease in level of estrogen hormone.
Consult a Gyanecologist and get his opinion.