Hi. As a very long story short. I am 45 years old. I was diagnosed with endometriomas x2, one on each ovary about 5 years ago. Subsequently, I had 2 operations, one drainage, 1 laser to treat them. This was because I was trying to conceive and had been unsuccessful. I underwent several IVF cycles before eventually being successful and had twins 3 years ago. I noticed before the last IVF that my cycle had become irregular (this was immediately overnight after the 2nd operation, prior to this I had a regular cycle). I was very concerned that the surgeon might have overdone the laser on my ovaries. Anyway, I put it to the back of my mind and proceeded with the last IVF cycle which worked. I had twins at the age of 42. Despite the absolute joy at becoming pregnant and having 2 babies I have found the 3 years since their birth extremely challenging. As you know, children are 24/7 work, the hardest job I have ever done. Much of this time I felt a little down, extremely moody, brain fog, tiredness beyond description, unable to sleep, even when children sleep, extreme anxiety, especially over the children's health/well-being, palpitations last Christmas, which ended in a reassuring visit to a cardiologist. I have had a frequent to constant feeling of being overwhelmed always tense, unable to relax. Occasional headaches and odd twinges here and there. Also, weight gain around the middle. Unable to exercise due to being so wrecked. In the last 4 weeks, I have developed definite hot flushes out of the blue, confirming what I suspected. I am sweating a lot at night and waking from sleep. My brain feels slow, sometimes I have difficulty finding words and expressing myself. My endless patience has evaporated. The symptoms have led me to despair and I ended up taking a week off work last week. My job is extremely stressful and busy. I eventually last week went and had my bloods done (after deferring it for ages). I had a feeling I was perimenopausal , but as I was still having the very odd cycle I had deferred getting the blood tests until the hot flushes arrived. Low and behold my FSH is 84. Anyway, yesterday I managed to get hold of some Femoston 1/10mg. My doctor wants me to see a gynae to make sure my lining is okay and asked me not to start HRT beforehand. However I felt so wretched that I had to go ahead and take a couple. I feel a little better already. The patient information leaflet has made me very wary of taking anything but I just feel that I cannot go on like this. I have so much on my plate with two small children and a very stressful job. I cannot be in the menopause right now (if that makes sense). I have a lot of financial commitments and have to work to pay my bills. I have to be together at work ie on the ball. I have to be in better form for the children. At times I was so tired and wretched I felt I was falling asunder, and could not go on. Please tell me that it is okay for someone like me with a history of endometriosis to take this low-dose HRT. There is no history of breast cancer or clots in my family. I counted back and I have had only 5 periods this year. I cannot go on juggling everything the way I have felt recently, it has been an uphill struggle. I need to take this HRT for at least 10 years until my children are reared. Please tell me that this is ok as I'm only 45 and I cannot function the way I have been feeling.