Hi Tracey5603
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
Sorry to hear about your mum - and of course you will be feeling emotional on top of the menopausal symptoms.
I agree with Dancinggirl - at your young age it would have been better to have given HRT earlier (rather than anti-depressants like sertraline) - but as she says - you have it now so that's good!
You haven't said whether it is Elleste Duet (which has two types of tablet and gives a bleed every 4 weeks - this is normal) or the conti version - where you take oestrogen and progestogen every day - in which case as Dancinggirl says bleeding or spotting is also normal initially.
The thing is if you have been without oestrogen for that long ie several years since last period - then it will definitely take a while for your body to adjust to the side effects, and you have gone straight to the 2 mg dose. It's good to have this dose for your age but bound to feel a bit up and down at first.
I've never taken tablets for my hRT - but went onto patches from the start - my favoured regime is patch oestrogen with progesterone (Utrogestan) on a long cycle - so I still have a withdrawal bleed in my 60's - every 6-8 weeks, but a long cycle is probably not so good with higher doses of oestrogen as the bleed could well be be heavier or longer.
Hopefully you will feel much better soon
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
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Hurdity x