Hi everyone, wanted to post an update on my situation in case it helps anyone out there reading this thread.
Since I last posted I have had a mirena inserted, have come off the daily 10mg of Provera (used for heavy periods) and have started HRT!
My dryness issue was not causing me any issues by the time the mirena was put it (the ovestin was working) so I assume that dryness due to low estrogen has been my problem. It's not atrophy as such as there's no shrinkage or physical change but all the itching, burning down there plus all the skin sensitivity on bikini line, inner thighs etc have all been down to dryness/low estrogen. The ovestin really fixed up everything at the 3 month stage so hang in there if you've used it for less time and are suffering from similar symptoms.
Unfortunately my night sweats, rage, low mood, itchy scalp and poor sleep didn't resolve after stopping Provera, in fact things got worse. My dryness symptoms reappeared for around a week also post mirena (although very minimal compared to previously).
My most recent blood tests were normal (again) but the GP at the family planning/GUM clinic suggested that I give HRT a try. She said blood tests are useful if they show someone's gone through menopause but not that helpful whilst still in the process. She then asked me to do a questionaire and my score was 36. She said anything over 20 indicates perimenopause

So pretty sure I'm in perimenopause, age 42. Although this has been working on me for years now, from my late 30s.
I've been using one pump of Estrogel for roughly a fortnight now and although I have suffered a really rough few days during that time with low mood and rage, my night sweats disappeared almost instantly and my sleep has improved. I haven't felt any dryness issues also. Hopefully better sleep helps with my mood/rage issues as time progresses as they are now my biggest issue.
Thanks for reading and for all your advice to date. I'm sure I'll be back with more questions
