Hi chelseagirl62
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
Thanks for your post. What dose of Climaval have you been on, and when you say total hysterectomy - do you mean including ovaries or do you mean uterus and cervix?
If you kept your ovaries then your own hormones will have continued to fluctuate as they would had you not had the hysterectomy, and you would go through menopause semi-naturally - although without periods it's difficult to tell except from symptoms.
The fact that you took HRT from the start implies to me that you had already started to experience menopausal symptoms or that you had your ovaries removed as well?
If you kept your ovaries then it sounds like your own oestrogen levels are now decreasing so that you are experiencing symptoms again - it's all down to dosage, so it could be that an increased dose would help you. If you are already on the maximum (2 mg) then a change of product might help eg to patch or gel which gives a more consistent dose. Some women have problems with absorption of tablet HRT and maybe your system is changing over the years so that less is getting through? Any of these might be possible.
As for weight - well if you are now going through menopause our metabolism changes as we get to this stage and therefore we need to eat less and exercise more just to stay the same weight. I am 61 ( been on HRT for 8 years) and eat infinitely less than I used to, and exercise far more than I did a few years ago - and my weight stays the same even though I could do with losing half a stone! There's some information here on weight gain, diet, exercise etc:
http://www.menopausematters.co.uk/diet.phphttp://www.menopausematters.co.uk/weightgain.phpI hope this helps and do ask again if there is anything else you need help with.
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
Hurdity x