Hello - i am just finishing my first 6 months on HRT - Fermostan 1/10 and need some advice please. The first 3 months were great but the last 3 haven't been so good. I'm beginning to get symptoms that made me go to the doctors in the first place, like constipation, anxiety, mood swings and brain fog. So can anyone tell me what determines if you go up a dose? I feel particularly rough after my period and it just seems to take ages to get over they are such an ordeal. Also can anyone give advice on Transcemic Acid that I have also been prescribed. The last time I went to the doctors and mentioned that my periods were heavy and painful, he prescribed the TA. Don't want to take anything that I don't need but i am really suffering for the 10 days post period with almost depression symptoms. Thanks