Hi again elmca
I'm not sure why you are confused - I presume it was the doctor brushing aside your symptoms and erratic periods?
The length of the per-menopause is hugely variable between different women and I have read that it can last up to 12 years from as little as a few months.
I can understand you not wanting to take anything artificial - I feel exactly the same. This is why I use bio-identical HRT - by this I mean replacing the oestrogen and progesterone with compounds that are identical to those produced naturally in our own body. I also use a trnasdermal method (patch) of obtaining oestrogen so it isn't like taking a tablet.
Remember that menopause is a state of oestrogen deficiency which lasts forever and HRT is just replacing this. You have to have progesterone as part of HRT to protect your womb.
I would recommend HRT if there is no medical reason not to try it - to protect your bones - but you may well get a bleed depending on what type you decide on.
There is information about the different HRT types in the menu on the left, but I would recommend either a patch ( such as Estradot) or gel (Oestrogel or Sandrena) for the oestrogen with bio-identical progesterone.
http://www.menopausematters.co.uk/treatment.php (Oestrogen and progestogens are given in the menu)
As I said the doc may alow you to go on continous combined which means you would take progesterone all the time and theoretically should not get a bleed if you are pretty well post-meno. I use micronised progesterone (Utrogestan) which is a capsule taken orally - although several of us on here use it vaginally - (but not many would do this every day!!).
I don't think it is important to know exactly where you are on the meno scale - by the sound of things you are pretty far along the journey.
Even if you decide against HRT - I would definitely ask for Vagifem as I said below in my previous post.
Hope this helps
Hurdity x