That wasn't very helpful at all Tinkerbellj. I gave up going to my Meno consultant, because hospital kept cancelling appointments & giving me ones for a year on, which was useless. I have tweaked my dosage too, GP was happy enough & agreed about life quality etc.
Do you think tweaking will help you, or are you needing a complete overhaul of your HRT? Don't these doctors realise how fragile we are during Meno? One female GP I saw was appalled that I was still on HRT after 5 years. Needless to say, never went to her again. Lucky for her if she sailed through it all, most of us aren't so lucky. My friend was a lucky one! Grrrrr She's a good friend honest!
Maybe speak with a GP & see what they say. I'm lucky that most at my surgery are happy to let me tweak doses & let me stay on it after 20+ years.