For sure menopause exacerbates anxiety in those already with a predisposition for it. And some who have never had anxiety find it starts in menopause. Either way you certainly don't need to just suffer with it. I started citalopram, an anti depressant for anxiety about 5 months before starting hrt and found I needed both to make a big difference. I still have low level anxiety so it is not a fix all like I'd hoped but I am working through options and tweaks at the moment. Also, I think some antidepressants can help the more physical memo symptoms like hot flushes, although I've no experience of taking them for that reason. Defo speak to your doctor as you may well benefit from a combination of both anxiety medication and hrt. All I'd say is try (or change) one thing at a time, rather than multiple things at once. That way you'll have a better idea of what is working and what isn't.