I feel so sorry for you as I remember so well feeling like this. I must admit Elleste was ok but once I reached 54 I was put on a continuous combined HRT and after a bit of research asked the GP if I could go on Kliovance as it had very low Progesterone and I've been fine on this.
I was teaching when the menopause hit me and I had to give it up. I wasn't the first teacher to do this as others have told me the same. It was almost impossible to think straight and I felt miserable and tired. I had always been super fit and healthy so it was a complete shock to me to watch my body completely deteriorate in front of me.
I wish I had known it was hormones at the time (I was 50) but the GP just put me straight on anti-depressants, which made me fat and didn't sort out any of the symptoms I was experiencing. I went over two years before any GP offered me help! Once on it thought, HRT has been brilliant and I am surprised that I have had a recent return to night sweats/joint pain/exhaustion recently, although I am on a very low dose (Kliovance).
If you can give up work, I would do it, although I know it may not be feasible. I think too many women of our age just feel they have to continue in stressful jobs when they feel floored by the menopause. It's so embarrassing when you can't cope in front of your colleagues and nobody really understands unless they have been through it. I have had quite severe depression and anxiety for 8 years now and it has ruined my life. I wish I had known how 'ill' I would feel at this stage of my life as I could have thought through whether getting into such a stressful career (however enjoyable it was for 10 years) was wise at 40 years of age!!!
Doctors, especially male doctors, don't appear to understand the gravity of the menopause for some women and seem to think that it is just one of life's 'common problems, ' but as I say, sadly, it has ruined my life and I was in no way prepared for it. Like you, I'm lucky to have a great husband but I'm afraid my daughter's have been less sympathetic. What a shame they have to go through it too one day!
Best of luck - Try to be pro active and check out the different HRT available before going to the GP as it is always best to be informed so that the GP is less likely to fob you off.