I found that initially my return to work went well, I was pleased to be returning to some normality. However, after a little while I realised that work was still the same as it was when I went on sick leave, the same things that stressed me were still there. I was slightly improved with hrt but not the same as I was before. This is the key, you are recovering and it takes time. It took a while to slip down the perimenopause slope so I guess it will take time to climb back up. Once you start to control the menopause symptoms your body will be able to deal with the work related stresses better without being overwhelmed. It takes time to accept that you have changed and to become at ease with this. I don't know that I will ever find the old me and if I will be able to work at my max clinical capacity again but maybe I am being given the green light to slow down. Be kind to yourself as it is early days. I have come on further myself but still have some hurdles to overcome. I have another 25yrs of working life yet so I have to work through it somehow!