I completely understand what you mean. I actually had to close a small beauty business I had as I didn't have the energy, focus, memory or mood to run it properly. My joints were so sore I couldn't do the job properly and that was on 4 pumps. Are you in Edinburgh? Your consultant sounds a bit like mine! There's also Tibolone? Don't know your circumstances or where you are in meno, I think it's only for post meno ladies, but could be wrong / don't know anything for certain at the moment! It's possibly an option for you. There's a thread going at the moment on here you could have a look at that?
Mxx