Hiya Josie,
I have been on hrt since last September, patches and utrogestan to start,then as I really couldn't tolerate the oral utrogestan, I had the mirena coil fitted to the progesterone part. Am 56 and still peri.
From my own experience, I definitely felt a lot worse when I began hrt, it was so hard to persevere, but I knew my symptoms were so bad I struggled to continue. I felt I had no choice. It did take about three months to settle down. Since then I have had increase my dose of estradot patches, and have had many ups and downs.
Am hoping finally I am heading to the correct dose for my symptoms.
The hardest part can be persevering when you feel worse. But as you can see in different sections of this forum , many women go through peri and meno without being on hrt. Maybe take a look at their advice and experiences to see if something other than hrt may be better for your symptoms?
It is worth discussing with your g.p for their advice. I wish you well