Hi there I'm 47 and going through Peri menopause for many years. The symptoms have been getting worse with bad cyclical headaches, shoulder and muscle pain, fatigue, brain fog, dizziness, weakness, nausea, weight gain, absolutely no libido for years, anxiety etc. I am still getting periods although they are only lasting 2-3 days. I went to a menopause clinic here in Ireland last week and the doctor prescribed estradot 50mg patches, testogel 1 sachet a week and 200 mg utogestan for the second half of my cycle. Started the patch and testogel straight away and have had a headache constantly ever since and some breast tenderness. The doctor has advised me to cut the patch in half and use the testogel sachet over 10 days. I'm just wondering if anyone else has had similar side effects and if this combination is working for others. Thanks