Hi Nasil41
What are you periods doing now? Was the skipped cycle recently or have they gone back to being regular again? One possibility is to go on the Pill to regulate your cycle and prevent the mood swings - there are a couple that are similar to HRT like QLAIRA which only has two tablet free days. The guidance now is that doctors should not prescribe anti-depressants as the first line of treatment for menopausal symptoms (including hormonal anxiety or depression) but HRT instead, although in the absence of any cyclical changes the doctor may not have thought you were heading for menopause (even though your age should be an indication).
There are various ways to reduce blood pressure naturally if yours is high - weight loss, (if needed), increased exercise, reduction in alcohol and smoking if appropriate, reducing salt in diet as well as the amount of saturated fats etc. This is what it says on this website about hypertension and hRT:
Blood pressure should be measured and, if high, should be controlled prior to starting HRT. Blood pressure measurement should be repeated 3 months after starting HRT and is then usually checked at annual review. There is a very small risk of conjugated equine estrogens causing a rise in blood pressure which resolves on cessation of treatment. In the presence of controlled hypertension, HRT is unlikely to worsen control; some recommend using transdermal (patch or gel) HRT.
Sage should be used with caution if hypertensive and St.John's Wort should be used with caution if taking antihypertensive therapy.https://www.menopausematters.co.uk/atoz.php#GlossHAll the different HRT preparations are listed under the Treatments tab ( pale green banner above) so it depends if you want a tablet or patch - but avoid the conjugated equine estrogen ones (beginning with PRE - as per advice above. You might also want to think about the Pill to control your cycle and mood swings - there is one called QLAIRA ( just posted about this on another thread) that is similar to HRT but suppresses the cycle and only has two tablet free days.
If you find something to suit you then eventually hopefully you might be able to reduce the ADs - ideally - if your anxiety was purely hormonal and you feel better.
Not sure how diabetes is affected? There is info on this website too about this:
Women with type 1 diabetes are thought to be at increased risk of osteoporosis and coronary heart disease. The association between HRT use and diabetes has caused some confusion; some studies, including the Women's Health Initiative trial, showing a reduced risk of diabetes in women taking HRT, yet fairly recently HRT advice sheets advised caution when using HRT in diabetic women. Currently, HRT may be used when indicated in women with diabetes, and it is thought that either low dose oral estrogen or transdermal (patch or gel) preparations are best. If progestogen is required, either dydrogesterone or micronised progesterone seem least likely to interfere with diabetic control, although further studies are required on ideal type and route of HRT. A recent study showed reduced fasting glucose levels in women with diabetes taking low dose tablet combined HRT. The use of sage is not advisable in presence of diabetes.https://www.menopausematters.co.uk/atoz.php#GlossDHope this helps and let us know how you get on
Hurdity x
