I saw a wonderful example of Win32::Console sometime in the last year that was a demo application that featured drop down menus, background colors, etc.. I *thought* it was a demo bundled up with either the module or one of the common perl distributions/versions. Alas I can't find it anywhere though..and that sucks because I thought it was a gem as far as demo apps go.
In short though if you want a lot of power/ability Win32::Console is an option. If I find the demo app I'll post a link or info of where to find it.