The only way you would really know is to stop your HRT and then wait and see if you bleed again.
As you are under 50 I would doubt if you are post meno.
Your oestrogen has maybe dropped at bit and that would account for your extra flushes.
Maybe shouldn't bring this up but you did mention your drinking. Alcohol really does not help especially if you are over indulging.
Honeyb
x
Hi honeyb
It's to bring the alc thing up

I don't drink every day, as I know it messes with flushes.
I can see what you mean about the only way of knowing is to stop my hrt.
I feel like the hormone/lack of hormone induced psychological negative feelings are so intense at the moment, though, I fear if I stopped hrt altogether, I might do or say something I regret.
This means I am too scared to stop, otherwise I would consider it.
Thanks for your speedy reply it has helped.