I've only used patches in the past but it does take a while before you start noticing any benefits and you should give it a good 3 months before deciding if it's the regime for you, if not try another. You can also ask for Vagifem and Ovestin to target your pelvic floor, bladder and any dryness and also ask to be referred to a physio therapist to show you how to do the correct exercises to strengthen your pelvic muscles, the HRT will help too. Taking the HRT route is not a bad thing, if you were anaemic you"d take iron or insulin if diabetic, this is a deficiency also and you can use your holistic therapies and diet and exercise to help aswell. Vitamin D helps me when I feeling low too. Hope you feel better soon and keep posting, theres always someone will come along with advice and tips and also use the search tab to read similar posts of ladies using the same HRT.