Hi carm01
from me too
Also sorry to hear you are feeling low.
Have you considered the HRT could be making you feel like this?
Kliofem contains a synthetic progestogen called norethisterone which has the side effects for some women of making them feeling irritable, headaches and general pmt symptoms (if had this effect on me). This is compounded by the fact you are taking it all the time so getting no relief - if this is the problem.
If this is the case then adding Fluoxetine would not help and means you could be using a drug to counter the effect of a different synthetic substance!
Before continuing with the Fluoxetine I would actually change HRT. You haven't said how old you are, how far into meno, or how long since your last period before going onto HRT. However I would seriously consider going onto an HRT cycle to see if it is the progestogen causing the problem ( you take these for 12 days out of 28). If you want to take combi pills then many women find Femoston better, as the progestogen in these is closest to our natural progesterone in our body. Femoston 2/10 would give you the same dose of oestrogen as you are on.
The bleeding on conti HRT prepartions ( no-bleed types) is supposed to settle after 6 months but if the cyclical type ( as suggested above) will give you a predictable monthly bleed.
Some of us ( like myself) choose to do this rather than go onto the conti type, even when well post-menopausal - so we donlt have to take progesterone continuously.
Hope this helps
Hurdity x
