Hi Geraldine
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
Sorry to hear about your mood swings.
I must say I am puzzled about the "swings" aspect of it, but low mood can be caused by low oestrogen and my first thought is that 1 mg is a very low dose of tablet HRT for someone who was in her forties and had had everything removed! You should have remained on 2 mg at least and the doc should not have given you ant-depressants for this - if as you say, it is not due to actual depression as you seem to recognise.
Usually if you have your ovaries removed (as well as uterus) , then you go into surgical menopause and your hormones drop dramtically and then stay low - and you don't go through the usual hormone fluctuations of menopause. The other thing is ovary removal will also have caused a dramatic reduction in testosterone production which is also responsible for mood, energy and sex drive - and its decrease seems to affect some women more than others, although if you're not excessively tired and lacking in energy you may not be deficient?
Here is the info about it:
http://www.menopausematters.co.uk/aftermeno.php (scroll down for the testosterone bit)
There is also some more info on it here:
http://www.menopausematters.co.uk/testosterone.phpUnfortunately it is rarely prescribed on NHS as there is only one preparation licensed for women and these are implants. Mostly women are only prescribed testosterone from private gynaes using small amounts of gel that is actually manufactures for men.
Can you ask to be referred to a specialist meno clinic? You can see from the map if there is one near you? If not can you afford a private consultation (although it is appalling that many women have to do this to get treatment)?
http://www.menopausematters.co.uk/clinicfinder.phpWhat is the actual brand of tablets you are taking? You might be better off changing to a patch or gel oestrogen which would give you a more constant amount and you can adjust the dose more easily without having to take such a large amount (much of which is lost rthrough digestion). Here are the different types ( scroll down for patch and gel):
http://www.menopausematters.co.uk/oestrogens.phpThere is no need to worry about the time you have been on HRT - breofre the average age of menopause ( 51-2) the risks don't count anyway, and Dr Currie says (on this site) that between the ages of 50 and 60 the benefits outweigh the risks anyway:
http://www.menopausematters.co.uk/balance.phpAs CLKD says good to keep blood sugar levels constant and I presume you 've had blood tests re thyroid, diabetes etc - the doc should do this anyway just to make sure all is OK, rather than give you ADs!!!
Hope this helps and do get back to us with any more questions
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
Hurdity x