Vicky, Vicky, Vicky! What are we going to do with you?! For me, I'm curious that you have never mentioned classic menopause symptoms of hot flushes (daytime reddening of the skin, feeling heat all over and possibly breaking into a sweat at these times), brain "fog" (concentration, memory, word-finding issues etc) and fatigue. How I wish you would stop listening to colleagues, though. They are going to potentially give you very subjective advice. This is not helpful for anyone! You really must turn to the medical professionals who can be objective and give you the support you need as they are neutrally involved! Please keep trying to engage with gps (requesting an in-person double appointment which you're perfectly entitled to do, taking someone in with you, again as you're entitled to), request a referral to a menopause clinic if needs be, but you may or may not be at that stage, based on the symptoms you seem to feel are your main ones which do not SEEM related to menopause as yet, more to side effects of anti-depressants?
Firstly, we need to know who prescribed, not suggested, Setraline and who is medically monitoring this?
Then, if I understand you correctly, you are now on your fourth, maybe fifth type of antidepressant. Over what period of time have these swaps taken place?
What was the trigger for taking them and did a gp prescribe and monitor them?
Did Studd know you were on Setraline when they prescribed the full spectrum of sex hormones at your first session, upping them after only a week at your request?
In my view, I'd say please, STOP listening to and acting on the "advice" of colleagues. They may be in psychiatry and psychology fields of expertise, but that is the culture of your workplace which is separate from and different to the nature of your personal wellbeing and life away from work?
I'm just very confused by everything and very concerned for you in what seems like a very random approach to your health and wellbeing. I don't know what else to say or how to say it. I'm sorry. I feel I can only offer an opinion, based on what you are telling us.
Why not try an e-mail to Dr. Currie on here? She might be able to give you specific, specialist advice and recommendations?