Hi katiecat
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
from me too.
So sorry to hear about all your problems.
The first thing I would say is that if you are worried about the effect on your mood to the extent that you are losing it with your children physically as well as emotionally, then you should seek help as soon as possible - if you feel you might hurt them because of your hormone imbalance - at least continue with the counselling on a regular basis, and/or speak to your doctor.
I do understand that livial is used for libido problems in post-menopause but I wonder about its use in someone as young as you but I don't really know enough about it. It is an odd product because it is metabolised into other compoinds which have oestrogenic, progestogenic and androgenic properties so acts like all three hormones. It does sound like this is responsible for your anger and aggression.
In your position and at your age I would try a different type of HRT - specifically estradiol - oestrogen - as a patch, gel or tablet, along with micronised progesterone ( Utrogestan) to protect your womb, and ask to be referred to a specialist so that you can be prescribed a small amount of teststerone if the oestrogen replacement does not restore your libido ( which will depend on the dose).
The problem with combi patches like Femseven - is that the estrogen dose is not high enough for someone as young as you - fair enough for someone in mid-50's who is post-menopause, if it makes them feel OK ( as it did for me) but in your position I would want a much higher dose. This means you need to take a correspondingly higher dose of progestogen to protect your womb. If this becomes problematic (due to the side effects from the progestogen) then you could opt for a cycle but then you would have a withdrawal bleed each month.
Your hormones will not be cycling any more without your ovaries as I understand but I expect the mood swings may have something to do with how the tablet is metabolised into the three different products and the relative balance of these in your body?
I really would ask to change asap - I haven't heard of anyone being aggressive and angry on normal HRT.
As groundhog suggests you could also have a £25 e-mail consultation but reallly your doc should be helping you here and referring you to a menopause specialist if they are unable to help. You won't have to give up HRT at 50 if you don't want to and there are no contra-indications - there are several of us approaching 60 or in our 60's who are still taking it
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
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It sounds tough what you've been through so you need to be easy on yourself and don't expect to be able to achieve as much as you want to.
Hope this helps and do come back to us if you have any other questions - but do seek help as soon as you can. You may have to go through a period of turmoil but far better to experience a few other side effects than to cope with aggression and anger - if this is due to the tablets - as you have young children who need you to be on more of an even keel and won't understand your anger in the same way as older children as you could explain more easily to them.
Hurdity x
![hug :hug:](https://www.menopausematters.co.uk/forum/Smileys/extended/hug.gif)