chocolatechaos - my first thought after reading your post is that you are maybe struggling with the progesterone in the Evorol sequi patches. Many women do find they get low mood with the more testosterone based progesterones and perhaps a change of HRT would be worth trying. Stick with the transdermal oestrogen, so switch to oestrogen only patches or Oestrogel, and then have progesterone as a pill fro 12-14 days each month and use either Utrogestan or Provera.
Do have a look at the bottom section of this page on MM which explains about this option:
http://www.menopausematters.co.uk/postmeno.phpYou could print this off to show you GP.
I have a very sensitive digestive system but find Utrogestan fine to take even though you need to take it on an empty stomach before bed. Many women seem to do extremely well on Provera which is also well tolerated but this can be taken with food so is less likely to give digestive problems. I have actually found my bowels have settled much better on Oestrogel and Utrogestan - it is trial and error and because you are young and you need to find something that works for you.
Dealing with menopause mood swings is challenging and one mustn't rule out the fact that your own hormones may still be kicking in and causing issues.
Have you had your oestrogen levels checked? I believe at your age ideally they should be around 500-600 but I tend to feel better when it's lower for some reason - I am 59 so it's different for me. I had a premature meno in my mid 30s and was reassessed at a private meno clinic when I was 40 and they put me on a lowish dose that really suited me as I had been getting horrid headaches because I was using too high a dose.
I wouldn't assume that a higher dose of HRT will improve mood especially if it involves an increased dose of synthetic progesterone - a different progesterone may well help though. If your flushes and nights sweats are under control then I find it's best to find other ways to control low mood e.g. Mindful Meditation. DG x