" At the moment I don't know that there is any other solution for me (I've really struggled getting out of bed the last few days and facing the world) but I hope that I don't have to stay on HRT for a long long time - I want my full sense of self back but not the extreme anxiety and menopausal symptoms."
Yes, I feel exactly the same Greenfields. I am aware that, even when I'm having a stretch of 'good' days/weeks on HRT, I am not quite 'myself'. Instead, I am like a photocopy of myself. A very, very slightly blurred photocopy. The difference is so slight that no one but me could tell. But I can tell and I don't like it.
I am 18 months into this peri menopause journey. Much of it has been a living Hell and I am eternally grateful that (hopefully) HRT is available to take away the awful anxiety and hormonal mood swings. But if this very slightly disconnected feeling is part of HRT then I won't be looking to stay on HRT long term. Definitely not.
The women in my family have all finished the menopause by their mid 40s at the very latest (some have been in their mid 30s). I sincerely hope that I am the same. And I shall probably come off HRT sometime in the next 2 years to see if I am still having periods. If I'm not, and my mood swings have calmed down thanks to my hormones levels dropping and being stable then I won't go back on HRT.
I know it's meant to protect your heart/bones etc but it is far more important to me to get my 'true sense of self' back again. And I do think that true sense of self is very slightly distorted by HRT.