Hello there! This is my first post so I’m a bit nervous. I’m 44 and not long after turning 40 I started struggling with symptoms like hot flashes, palpitations burning feet and sore gums and insomnia and weight gain (especially my breasts which have grown 3 sizes) , tiredness erratic periods I began trying desperately with docs to find out what was going on with me I was eventually referred and given HRT at 43 by specialist . On the whole I found a big improvement in my daily living starting on the HRT a year ago as I had been feeling terrible most of the time. I found that I actually prefer estrogen patches (I’m on 100mg estradot) than the gel (gel made me feel spaced out) and I take the uterogestan 200mg orally from day 15 for 12 days. However I still struggle terribly during my ovulation window (day 10-15) with mood swings bad cramping, cranky low mood and tiredness as well as just before my period and a couple of days after my period has ended. I seem to dip as my period is combining to an end. My libido is non existent and it’s becoming a problem in my marriage which I hate, weight gain is getting worse not better and to top it all have I have developed ATypical migraines which seem to go on for a few days during ovulation and prior to my period. My specialist has recommended GNRH to take ovulation away altogether as the next step, which I’m really retissant to do due to the fact that I’m still young. So before that she has suggested that I can try taking the utrogestan A for my full cycle in a half dose which 100mg a day along with the patches to see if it helps with lifts and drops in the hormonal cycle. I’m worried about that because it seems to be a regime for women who have finished their periods?! I know it can cause erratic bleeding. I feel like I can’t keep repeating these cycles month in and month out. It is like clockwork almost to the day every month. The hormones whether too much or not enough are triggering migraines and the anxiety when I’m in the first half of my cycle is high and the insomnia terrible. Which is apparently unusual. I seem to feel better when I start the progesterone side of the cycle all be it a bit moody and tired during the day. Is it possible my body doesn’t like estrogen?? Strange to say I know. I just wish i knew what was causing the problem so I could adjust. I’m going to try taking the new regime the specialist has recommended but apparently it can cause erratic bleeding. Sorry for the length of my post but I just feel like I need some help to to hear if anyone else is going through similar. I have read many of the posts and I know Hurdity is a whizz so perhaps she will see my post and have some advice? Any help or advice would be appreciated. Many thanks all