Hello Burchers,
Your question is not embarrassing at all.. I've been reading your previous posts in order to understand what you're going through. You are under a lot of stress, honey.
Would you mind clarifying some of my doubts? You said you had an ablation in 2016 for heavy periods. How did it go? Was it a normal procedure? Were you ok after that?
You said your periods have stopped after the ablation. Have you had scans after that (uterus and ovaries)? Have you had blood tests for hormones?
If you are still having anxiety, maybe mirtazapine is not working anymore... maybe you could ask your doctors to consider a gradual and slow reduction in dose to detox your body and then maybe try another medication? That's a lot of 'maybes' but it seems logical to me.
IF your anxiety is hormonal related... I see that you have been trying different regimens and you're still suffering from side effects. Depending on your ovarian status (ie, are you still producing a good amount of your own hormones or not?), maybe you're not post-menopause, your periods could have stopped due to the ablation, but you're still in peri-menopause. That could explain your symptoms despite being on HRT.
Finally, you could be extremely sensitive to hormonal imbalance (you have mentioned you are sensitive to drugs) and if you are really post-menopause, changing regimens could have caused further imbalance and symptoms.
I hope I haven't confused you.
Conolly X